Provider Demographics
NPI:1467833517
Name:BAYNES, NOREEN REQUIJO (NP)
Entity Type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:REQUIJO
Last Name:BAYNES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:NOREEN
Other - Middle Name:
Other - Last Name:REQUIJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1 GUSTAVE L LEVY PL # 1030
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1190 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6503
Practice Address - Country:US
Practice Address - Phone:212-241-7300
Practice Address - Fax:212-241-5006
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF307250-1363LA2200X
NY307250363LG0600X, 363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology