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Individual
MARTIN R. BAKER
Active
Individual
MARTIN R. BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
367915
NY
363LA2200X
Adult Health Nurse Practitioner
300338
NY
Other
Enumeration date
10/02/2006
Last updated
09/11/2025
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