Individual
MICHELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 N JAMES ST, ROME, NY 13440-2844
(315) 338-7000
Mailing address
PO BOX 2005, EAST SYRACUSE, NY 13057-4505
(315) 449-0513
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
330963
NY
Other
Enumeration date
06/07/2019
Last updated
04/11/2025
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