MEDICARE: MS. ANNE PATIENCE BAKER MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	004920	NY
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1891888335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNE PATIENCE BAKER MA

Provider Business Mailing Address
First Line	:	480 BROADWAY STE 330
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2230
Country	:	US
Telephone Number	:	518-306-1072
Fax Number	:	518-704-4732

Provider Business Practice Location Address
First Line	:	480 BROADWAY STE 330
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2230
Country	:	US
Telephone Number	:	518-306-1072
Fax Number	:	518-704-4732

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	10/22/2019

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