Baker Maldonado Edna

NPI #1255516696 in Carmel, New York

Provider Information

NPI Number: 1255516696
Entity Type: Organization
Organization Name: Baker Maldonado Edna
Primary Specialty: Specialist
Enumeration Date: Jan 3, 2008
Last Updated: Oct 23, 2015

Practice Location

Address: 686 STONELEIGH AVE
City: Carmel
State: New York
ZIP Code: 10512
Phone: (845) 279-1111

Authorized Official

Name: MS. EDNA D MALDONADO-BAKER, OTR CHT
Title: OWNER PROVIDER
Phone: (845) 279-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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