| Doctor Name: | MS. CAROLYN BAKER |
| NPI Number: | 1023261294 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 012952 |
| Business Practice Address: | 1729 Burrstone Rd New Hartford, NY - 134131001 |
| Business Phone Number: | 3157981840 |
| Business Fax Number: | 3157981648 |
| Mailing Address: | 1729 Burrstone Rd, NEW HARTFORD |
| State: | NY |
| Postal Code: | 134131001 |
| Phone Number: | 3157981840 |
| Fax Number: | 3157981648 |
| NPI Enumeration Date: | 10/31/2008 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 012952 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |