Individual provider · Type 1 NPI

Jennese Baker, PA

Medical Physician Assistant · Oakland Gardens, NY

NPI number 1124275631 Active

Practice location

21604 Union Tpke
Oakland Gardens, NY 11364-3525

Fax (718) 465-9792

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008661 (NY)

Medical Physician Assistant: Definition to come...

4 other providers at this address

About NPI 1124275631

Jennese Baker, PA's National Provider Identifier is 1124275631, issued on Aug 26, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oakland Gardens, NY. The record was last updated on Aug 26, 2008.