Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 121112 | NY |
NPI | 1346276276 |
---|---|
Provider Name | Dr. David A Baker |
First Address | Stony Brook, NY 11790-0989 |
Second Address | East Setauket, NY 11733-4047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00491185 | (05) | NY |
18A27 | EMPIRE BC.BS (01) | NY |
4469368 | AETNA (01) | NY |
C06363 | (02) | NY |