Individual
EBONY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E 42ND ST FL 7, NEW YORK, NY 10017-5835
(917) 608-0712
Mailing address
36 HILTON AVE APT 306, HEMPSTEAD, NY 11550-2116
(347) 593-0851
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
765143
NY
363LF0000X
Family Nurse Practitioner
Primary
357951
NY
Other
Enumeration date
08/05/2025
Last updated
11/16/2025
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