Individual
LEA N BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HSC T15 040, STONY BROOK, NY 11794-8151
(631) 638-0910
(631) 638-0915
Mailing address
PO BOX 1554, STONY BROOK, NY 11790-0988
(631) 638-0650
(631) 638-4170
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
263795
NY
207RX0202X
Medical Oncology Physician
263795
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
05/03/2022
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