Individual ProviderBlanca Iris BaezSpecialistOther Service ProvidersPractice Address551 52nd St, Brooklyn, NY 11220-2720(718) 853-5309PECOS EnrollmentBased on the most recent information from CMS, provider Blanca Iris Baez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1356606149Provider TypeIndividualFull NameBaez, Blanca IrisTitleMrs.CredentialMS.ED.GenderFemaleSole ProprietorNoEnumeration Date7/9/2012Last Updated7/9/2012Contact InformationPractice LocationPractice Address551 52nd St, Brooklyn, NY 11220-2720Phone(718) 853-5309Fax(718) 853-5309Mailing LocationMailing Address551 52nd St, Brooklyn, NY 11220-2720Phone(718) 853-5309Fax(718) 853-5309Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerNew YorkCode174400000XDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer