| Doctor Name: | SONIA PAULINE BAKER |
| NPI Number: | 1104999432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | F333537-1 |
| Business Practice Address: | 175 Nassau Rd Roosevelt, NY - 115752016 |
| Business Phone Number: | 5166231644 |
| Business Fax Number: | 5166233125 |
| Mailing Address: | 359 Pennsylvania Ave, FREEPORT |
| State: | NY |
| Postal Code: | 115201343 |
| Phone Number: | 5163308828 |
| Fax Number: | 5166233125 |
| NPI Enumeration Date: | 11/16/2006 |
| NPI Last Update Date: | 03/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | F333537-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |