Individual
MR. SCOTT MARTIN BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
PO BOX 1019, SPRING VALLEY, NY 10977-0819
(631) 351-4101
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003042
NY
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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