Individual
IAN L BAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(122) 241-5486
Mailing address
310 CEDAR ST, YALE UNIV. SCHOOL OF MEDICINE DEPARTMENT OF PATHOLOGY, NEW HAVEN, CT 06520-8070
(203) 737-2115
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
297435
NY
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
297435
NY
Other
Enumeration date
05/20/2014
Last updated
08/21/2019
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