Individual
MS. CAROLYN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
969 MAIN ST STE D, FISHKILL, NY 12524-1791
(845) 896-7730
(845) 896-7758
Mailing address
969 MAIN ST STE D, FISHKILL, NY 12524-1791
(845) 896-7730
(845) 896-7758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012952
NY
363AS0400X
Surgical Physician Assistant
Primary
012952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03056553
—
NY
Enumeration date
10/31/2008
Last updated
01/25/2026
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