Individual
DEREK GERARD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 CEDAR ST, ONEIDA, NY 13421
(315) 280-0400
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
06/28/2018
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