National Provider Identifier

Robert E Baker III, PA

Robert E Baker III, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 447-6100.

NPI 1033591342Kenmore, NYPhysician Assistant

Profile Overview

NPI
1033591342
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 23, 2015
Last Updated
September 27, 2023

Practice Location

  • 2950 Elmwood Ave
  • Kenmore, NY 14217-1304

Phone: (716) 447-6100

Mailing Address

  • 906 Park Lane Villas Dr
  • West Seneca, NY 14224-3978

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1033591342
Entity Type
Individual
Last Name
Baker
First Name
Robert
Middle Name
E
Name Suffix
III
Credential
PA
Mailing Street Address
906 Park Lane Villas Dr
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3978
Mailing Country
US
Mailing Phone
(225) 266-7010
Practice Street Address
2950 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1304
Practice Country
US
Practice Phone
(716) 447-6100
Enumeration Date
June 23, 2015
Last Updated
September 27, 2023
Sex
Male
Sole Proprietor
No
Certification Date
September 27, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)