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MS. LAURA THERESA BAKER
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1134533151
Individual Registrant:MS. LAURA THERESA BAKER
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
928 BAYSIDE BREEZY POINT, NY 11697-1136 US
Tel: 646-372-1241 Fax: --
Tel: 646-372-1241 Fax: --
Contact information for business:
928 BAYSIDE BREEZY POINT, NY 11697-1136 US
Tel: 646-372-1241 Fax: --
Tel: 646-372-1241 Fax: --
Registration Information:
NPI: 1134533151
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | NY | 968066999 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
