Individual
MRS. ANDREA MICHELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11 BACON RD, OLD WESTBURY, NY 11568-1502
(516) 333-7804
Mailing address
10 THE BRAE, WOODBURY, NY 11797-2824
(516) 367-6199
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007881-1
NY
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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