Individual
SUSAN SESTINI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7793
(716) 888-3842
Mailing address
4511 HARLEM RD, SUITE 202, AMHERST, NY 14226-3803
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
1172251
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025109001
UNIVERA
NY
01
—
000526158001
BC/BS
NY
01
—
0018168500001
PA MEDICAID
—
05
—
01018235
—
NY
01
—
040426002262
FIDELIS
NY
01
—
5111042
IHA
NY
Enumeration date
10/21/2006
Last updated
09/26/2008
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