Individual
ROBERT DENIO BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 BRYANT STREET, BUFFALO, NY 14222-2006
(716) 878-7793
(716) 888-3842
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 878-6720
(716) 878-6740
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
118920
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025108901
UNIVERA
—
01
—
000526157001
BC/BS
—
05
—
0018168400001
—
PA
05
—
02090408
—
NY
01
—
040426002259
FIDELIS
—
01
—
5111041
IHA
—
Enumeration date
10/21/2006
Last updated
10/27/2008
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