Dr. Shane Baker
Podiatrist
95 Crystal Run Rd
Middletown
, New York 10941-7001
Dr. Shane Baker
Podiatrist
95 Crystal Run Rd
Middletown
, New York 10941-7001
(845) 703-6297
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Shane Baker
- 155 Crystal Run Rd
- Middletown, NY
- Zip : 10941-4028
- Fax : (845) 703-6297
- Phone : (845) 703-6999
Second Address
- Dr. Shane Baker
- 95 Crystal Run Rd
- Middletown, NY
- Zip : 10941-7001
- Fax : (845) 703-6297
- Phone : (845) 703-6999
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N006559 | NY |
| Y | 222Z00000X | Podiatrist | N006559 | NY |
National Provider Identifier
| NPI | 1063792828 |
|---|---|
| Provider Name | Dr. Shane Baker |
| First Address | Middletown, NY 10941-4028 |
| Second Address | Middletown, NY 10941-7001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2011 |
| Last Update Date | 31/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.