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Individual

DR. KEVIN SCOTT BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
HSC LEVEL 4 RM 120, DEPARTMENT OF RADIOLOGY, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538
Mailing address
STONY BROOK MEDICINE HSC LEVEL 4 RM 120, DEPARTMENT OF RADIOLOGY, STONY BROOK, NY 11794-8460
(631) 444-5400
(631) 444-7538

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
277475
NY
2085R0202X
Diagnostic Radiology Physician
Primary
56282
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/10/2010
Last updated
01/11/2022
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