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NPI Code Detail

MEDICARE: ANOLD BAEZ-SPIRO

MEDICARE: ANOLD BAEZ-SPIRO
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
1103K00000XBehavior Analyst
2174400000XSpecialistNY

General Provider Information

NPI Number : 1285997122
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANOLD BAEZ-SPIRO
Provider Business Mailing Address
First Line : 6214 24TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number : 718-561-5300
Fax Number :
Provider Business Practice Location Address
First Line : 6214 24TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number : 718-561-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2012
Last Update Date : 07/19/2022

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Directions to “ ANOLD BAEZ-SPIRO ” Practice Location

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