Individual
MANDEEP VIRK-BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MPH, RD
Contact information
Practice address
3146 STATE HIGHWAY 23, WEST ONEONTA, NY 13861-6908
(607) 663-0810
Mailing address
PO BOX 158, WEST ONEONTA, NY 13861-0158
(607) 663-0810
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86052465
—
133V00000X
Registered Dietitian
NDP-2025-0065
NM
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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