MEDICARE: DR. CORY BAKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	169239	NY

General Provider Information

NPI Number	:	1649276643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORY BAKER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 28082
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10087-8082
Country	:	US
Telephone Number	:	212-987-3100
Fax Number	:

Provider Business Practice Location Address
First Line	:	25-10 30TH AVENUE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102
Country	:	US
Telephone Number	:	212-987-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	08/19/2025

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Directions to “ DR. CORY BAKER M.D.” Practice Location

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