EBONY BAKER
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1417831967- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 220 E 42ND ST FL 7, NEW YORK, NY, 100175835
- Phone
- (917) 608-0712
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: NY #357951
Registered Nurse
License: NY #765143