Most Relevant Information
Provider Data
| NPI Number: | 1003657081 |
| Provider Name: | VANESSA BAEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/04/2024 |
| Last Updated: | 06/04/2024 |
Provider Practice Location
579 COURTLANDT AVE
BRONX
NY
104515013
Practice Location Phone/Fax
| Phone: | 7184852100 |
| Fax: |
Provider Mailing Location
655 MORRIS AVE APT 13A
BRONX
NY
104514951
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |