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NPI Code Detail

MEDICARE: ANDREA BAEZ

MEDICARE: ANDREA BAEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorP139202NY

General Provider Information

NPI Number : 1144197427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA BAEZ
Provider Business Mailing Address
First Line : 150 W 28TH ST STE 1901
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6179
Country : US
Telephone Number : 347-941-0030
Fax Number :
Provider Business Practice Location Address
First Line : 150 W 28TH ST STE 1901
Second Line :
City : NEW YORK
State : NY
Zip : 10001-6179
Country : US
Telephone Number : 347-941-0030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 04/13/2026

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Directions to “ ANDREA BAEZ ” Practice Location

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