Provider Demographics
NPI:1073931317
Name:BAUR, LAURA A (MD, MA)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:BAUR
Suffix:
Gender:F
Credentials:MD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W 23RD ST APT 904
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5295
Mailing Address - Country:US
Mailing Address - Phone:973-224-4255
Mailing Address - Fax:
Practice Address - Street 1:353 E 17TH ST, 2ND FL 2, RM 223
Practice Address - Street 2:BETH ISRAEL MED CTR, DEPT OF PSYCH
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3804
Practice Address - Country:US
Practice Address - Phone:212-420-3743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No282N00000XHospitalsGeneral Acute Care Hospital