Provider Demographics
NPI:1205050028
Name:BAKER, CHERYL I (RNP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:I
Last Name:BAKER
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 PAULDING AVE
Mailing Address - Street 2:1ST FLR.
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3715
Mailing Address - Country:US
Mailing Address - Phone:718-920-7100
Mailing Address - Fax:718-798-7474
Practice Address - Street 1:MMC - DEPT. OF ONCOLOGY
Practice Address - Street 2:1695 EASTCHESTER ROAD, 1ST FLR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-920-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331690363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner