Individual
MS. CAROLINE BAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-0333
Mailing address
1509 IMPERIAL AVE, NEW HYDE PARK, NY 11040-3945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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