Individual provider · NPI-1
Ian L Baine, M.D., Ph.D
Pathology, Clinical Pathology · New York, NY
NPI number1154732584
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1154732584
- Entity type
- Individual (NPI-1)
- Name
- Ian L Baine
- Credential
- M.D., Ph.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 20, 2014
- Last updated
- Aug 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZC0006X | Pathology, Clinical Pathology | 297435 | NY | Yes |
| 207ZP0007X | Pathology, Molecular Genetic Pathology | 297435 | NY |
Practice location
1470 Madison AveNew York, NY 10029-6542
Phone 122-241-5486
Mailing address
310 Cedar StYale Univ. School Of Medicine Department Of Pathology
New Haven, CT 06520-8070
Phone 203-737-2115
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