Individual
BRENDA A BAKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
739 IRVING AVE, STE 520, SYRACUSE, NY 13210-1663
(315) 477-0077
(315) 470-2925
Mailing address
PO BOX 2003, EAST SYRACUSE, NY 13057-4503
(315) 446-3904
(315) 445-2936
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300618
NY
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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