Provider Demographics
NPI:1942360938
Name:BAUM, DAVID EMIL (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:EMIL
Last Name:BAUM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18 MENDONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-9762
Mailing Address - Country:US
Mailing Address - Phone:585-582-2993
Mailing Address - Fax:585-582-2993
Practice Address - Street 1:350 PARRISH ST
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1793
Practice Address - Country:US
Practice Address - Phone:585-396-6000
Practice Address - Fax:585-396-6554
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY158760207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE27771Medicare ID - Type Unspecified