Organization
MOUNT SINAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN LEE BAKER PA-C (PHYSICIAN ASSOCIATE)
(212) 824-8100
Entity
Organization
Contact information
Practice address
1468 MADISON AVE, BOX 1116, NEW YORK, NY 10029-6508
(631) 824-8100
(212) 996-2230
Mailing address
59 E MAIN ST, SUITE 13, BAY SHORE, NY 11706-8332
(212) 824-8100
(212) 996-2230
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
16550
NY
Other
Enumeration date
07/21/2013
Last updated
07/21/2013
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