Doctor Name: | ERIN STELLA BAYLOR |
NPI Number: | 1376762336 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | F381134-1 |
Business Practice Address: | 3889 North Rd Geneseo, NY - 144549745 |
Business Phone Number: | 5852434000 |
Business Fax Number: | |
Mailing Address: | 4229 S Frost Hollow Rd, LIVONIA |
State: | NY |
Postal Code: | 144879410 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | F381134-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |