Individual
JACQUELINE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 E 72ND ST, SUITE 1A, NEW YORK, NY 10021-4250
(211) 298-8650
Mailing address
125 E 72ND ST, SUITE 1A, NEW YORK, NY 10021-4250
(211) 298-8650
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
260548
NY
282NC2000X
Children's Hospital
260548
NY
Other
Enumeration date
05/12/2009
Last updated
07/19/2016
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