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NPI Code Detail

MEDICARE: DANIEL IVO BAUX

MEDICARE: DANIEL IVO BAUX
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
1207RA0401XAddiction Medicine (Internal Medicine) Physician341311NY

General Provider Information

NPI Number : 1982281028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL IVO BAUX
Provider Business Mailing Address
First Line : 67 BATTERY AVE APT 1C
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-3514
Country : US
Telephone Number : 561-699-1187
Fax Number :
Provider Business Practice Location Address
First Line : 2601 OCEAN PKWY
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-7745
Country : US
Telephone Number : 844-692-4692
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2021
Last Update Date : 06/16/2026

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Directions to “ DANIEL IVO BAUX ” Practice Location

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