Provider Demographics
NPI:1063502979
Name:BALDINGER, HARRY GEORGE (DPM)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:GEORGE
Last Name:BALDINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ANJOU LN
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-1703
Mailing Address - Country:US
Mailing Address - Phone:845-428-8686
Mailing Address - Fax:845-290-1923
Practice Address - Street 1:7 ANJOU LN
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1703
Practice Address - Country:US
Practice Address - Phone:845-428-8686
Practice Address - Fax:845-290-1923
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002930213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT31806Medicare UPIN
NYP33141Medicare ID - Type UnspecifiedMEDICARE & BC/BS