National Provider Identifier
Jessica Baek, MD
Jessica Baek, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1902434103
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 01, 2020
- Last Updated
- November 03, 2025
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 462 Grider St
- Buffalo, NY 14215-3021
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1902434103
- Entity Type
- Individual
- Last Name
- Baek
- First Name
- Jessica
- Credential
- MD
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- April 01, 2020
- Last Updated
- November 03, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 03, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)
- Other Identifiers
- 125536700 (FL)