Individual
CRYSTAL L. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
30 HARRISON ST STE 355, JOHNSON CITY, NY 13790-2162
(607) 763-8102
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905-1040
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336899-1
NY
Other
Enumeration date
07/18/2011
Last updated
02/14/2018
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