Organization
HENRIETTA PSYCHIATRIC NP CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA BAKER NP (OWNER)
(585) 471-3407
Entity
Organization
Contact information
Practice address
250-B LUCIUS GORDON DRIVE SUITE 2, WEST HENRIETTA, NY 14586
(585) 471-3407
(866) 557-9530
Mailing address
250 LUCIUS GORDON DR STE 2, WEST HENRIETTA, NY 14586-9662
(585) 471-3407
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02184494
—
NY
Enumeration date
09/07/2022
Last updated
05/21/2024
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