Provider Demographics
NPI:1750719464
Name:DANIEL BAKER MDPC
Entity type:Organization
Organization Name:DANIEL BAKER MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCANDARIATO
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:516-216-5957
Mailing Address - Street 1:65 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6112
Mailing Address - Country:US
Mailing Address - Phone:516-216-5957
Mailing Address - Fax:
Practice Address - Street 1:65 E 66TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6112
Practice Address - Country:US
Practice Address - Phone:516-216-5957
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-16
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY116131208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty