Ryan Edward Baker, RPAC
Individual provider Active NPI Medical Physician Assistant · Deer Park, NY
NPI 1992077069 · NPPES record last updated Feb 3, 2012
Key facts
- NPI
- 1992077069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 015345 (NY)
- Practice address
- 60 E Industry CT
Deer Park, NY 11729-4728 - Phone
- (631) 667-0222
- Fax
- (631) 667-0223
- NPI assigned
- Feb 3, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwardo M Yambo MD PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 015345 | NY | Yes |
Addresses
Primary practice location
60 E Industry CT
Deer Park, NY 11729-4728
Mailing address
60 East Industry Court
Deer Park, NY 11729
Phone (631) 667-0222
Other providers in Deer Park, NY
- Stelie Aubergiste Dupre
- Corey Austin
- Babylon Psychological Services
- Babylon PT, Family Health NP and Chiropractic PLLC
- Babylon Surg Supply Inc
- Jillian Ballin
- Madeline Ferraro Barbarotto
- Bayside Pain Management PC
- Be Well Ny Acupuncture PLLC
- Gloria Sophia Bean
All providers in Deer Park, NY · Medical Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.