Individual
JENNESE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
21604 UNION TPKE, OAKLAND GARDENS, NY 11364-3525
(718) 465-3200
(718) 465-9792
Mailing address
21604 UNION TPKE, OAKLAND GARDENS, NY 11364-3525
(718) 465-3200
(718) 465-9792
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008661
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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