Organization
BAKER BREAST PROSTHESIS & SURGICAL STOCKINGS CORP.
Active
Other names
MY SECRET
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETTY ELBAUM (VICE PRESIDENT)
(212) 877-8860
Entity
Organization
Contact information
Practice address
145 W 71ST ST, SUITE 1F, NEW YORK, NY 10023-3802
(212) 877-8860
(212) 799-8356
Mailing address
145 W 71ST ST, SUITE 1F, NEW YORK, NY 10023-3802
(212) 877-8860
(212) 799-8356
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01261343
—
NY
01
—
040401001486
FIDELIS CARE OF NY
NY
01
—
1000002744
AFFINITY HEALTH PLAN
NY
01
—
1068780
UNITED HEALTHCARE
NY
01
—
120423
AETNA
NY
01
—
174138
ELDERPLAN
NY
01
—
2C3110
HEALTHNET
NY
01
—
57C0601
COMMUNITY PREMIER PLUS
NY
01
—
57P0471
COMMUNITY HEALTH PLAN
NY
01
—
A395883
OXFORD
NY
01
—
G71532
BLUE CROSS BLUE SHIELD
NY
Enumeration date
06/06/2006
Last updated
08/22/2020
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