Provider Demographics
NPI:1740158195
Name:BAEZ SANCHEZ, CORINA ELIZABETH (BS,BCBC)
Entity type:Individual
Prefix:MS
First Name:CORINA
Middle Name:ELIZABETH
Last Name:BAEZ SANCHEZ
Suffix:
Gender:F
Credentials:BS,BCBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 BLAUVELT AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1207
Mailing Address - Country:US
Mailing Address - Phone:201-397-8865
Mailing Address - Fax:
Practice Address - Street 1:916 MAIN AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-8545
Practice Address - Country:US
Practice Address - Phone:201-397-8865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ174H00000X, 133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174H00000XOther Service ProvidersHealth Educator