Healthcare Provider Details

I. General information

NPI: 1548752132
Provider Name (Legal Business Name): ANDREW S. BAIRD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2018
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVE
NEW YORK NY
10032-3733
US

IV. Provider business mailing address

177 FORT WASHINGTON AVE
NEW YORK NY
10032-3733
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-5996
  • Fax:
Mailing address:
  • Phone: 212-305-5996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number12777637-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0065936
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number337472
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: