Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 141577 | NY |
N | 2080A0000X | Adolescent Medicine | 141577 | NY |
NPI | 1043275159 |
---|---|
Provider Name | William J Baier |
First Address | Lockport, NY 14094 |
Second Address | Lockport, NY 14094 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 29/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010008001 | UNIVERA HEALTHCARE (01) | NY |
000508168001 | BLUE CROSS/BLUE SHIELD (01) | NY |
00603190 | (05) | NY |
1208996 | INDEPENDENT HEALTH (01) | NY |