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Contact Information

JUAN M BAEZ, M.D., PH.D.
41-61 KISSENA BLVD
FLUSHING, NY11355-2686
 Phone: 718-663-5008
 Fax: 718-663-5008
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for JUAN M BAEZ · (Male)

NPI # 1881832871
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 01/28/2009
Last updated 09/24/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 254097
  • NY Medicaid 03313471
Hospital affiliation(s)
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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