Individual
SEAN R BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PARK ST, GLENS FALLS HOSPITAL, GLENS FALLS, NY 12801-4413
(518) 926-5918
(518) 926-5917
Mailing address
100 PARK STREET, GLENS FALLS HOSPITAL - CREDENTIALING, GLENS FALLS, NY 12801-4413
(518) 926-5925
(518) 926-5917
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
206924
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01809049
—
NY
01
—
P00148627
RR MEDICARE
NY
Enumeration date
10/17/2005
Last updated
08/30/2021
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