Provider Demographics
NPI:1629439807
Name:BAEZ, HELEN
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:BAEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HIGHLAND PL
Mailing Address - Street 2:APT 5D
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1915
Mailing Address - Country:US
Mailing Address - Phone:914-772-3189
Mailing Address - Fax:
Practice Address - Street 1:7 HIGHLAND PL
Practice Address - Street 2:APT 5D
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1915
Practice Address - Country:US
Practice Address - Phone:914-772-3189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist