Baker, Dustin Lee
Baker, Dustin Lee is an individual health care provider with primary practice located at 550 1St Ave , New York NY 10016-6402. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Baker, Dustin Lee can be contacted via phone (646) 369-7838.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 016550 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 16550 | New York |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 016550 | New York |
Profile Details
NPI number | 1922432723 |
---|---|
LBN Legal business name | Baker, Dustin Lee |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2013 |
Last updated | May 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922432723 | NPPES |
New York | MEDICAID | 03739613 |
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