Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N004868 | NY |
NPI | 1265532857 |
---|---|
Provider Name | Dr. William T. Baird |
First Address | Brooklyn, NY 11234-5217 |
Second Address | Brooklyn, NY 11234-5217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 15/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U40968 | (02) | NY |