Provider Demographics
NPI:1992339568
Name:BAEZ-JIMENEZ, YOKASTY (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:YOKASTY
Middle Name:
Last Name:BAEZ-JIMENEZ
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 W 192ND ST APT 3E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-3272
Mailing Address - Country:US
Mailing Address - Phone:646-945-7826
Mailing Address - Fax:
Practice Address - Street 1:608 W 192ND ST APT 3E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-3272
Practice Address - Country:US
Practice Address - Phone:646-945-7826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-23
Last Update Date:2020-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY735851163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse