Individual
DIVYA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 773-7931
(518) 930-4152
Mailing address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 448-2721
(518) 930-4152
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
0678541
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
774828
NY
Other
Enumeration date
08/28/2020
Last updated
05/23/2025
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