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Individual

DR. SCOTT BAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
275 W 96TH ST APT 26G, NEW YORK, NY 10025-6263
(212) 663-8607
Mailing address
160 W 73RD ST, APT 1D, NEW YORK, NY 10023-3013
(212) 665-3908
(212) 222-8972

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005538-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01675896
NY
Enumeration date
07/27/2006
Last updated
12/12/2016
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