Individual
MICHAEL C BAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 CARROLL ST, BROOKLYN, NY 11215-1427
(530) 521-3069
Mailing address
810 CARROLL ST, BROOKLYN, NY 11215-1427
(530) 521-3069
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
RHL116491
CA
208D00000X
General Practice Physician
Primary
130872-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G208470
—
CA
01
—
G20847
MEDICAL LICENSE
CA
Enumeration date
06/09/2006
Last updated
03/07/2023
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