NPI 1689124976

Hipolito Baez

Practitioner Supports Brokerage Agency Bronx, NY

Practice location

Address: 2123 Boston Rd 4e, Bronx, NY 10460-2240
Phone: (917) 915-0256

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X

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Registry record

NPI: 1689124976
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Oct 2016
Record last updated: 11 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.