Provider Demographics
NPI:1831461482
Name:BAKER, MELVA LENORA (DPM)
Entity Type:Individual
Prefix:DR
First Name:MELVA
Middle Name:LENORA
Last Name:BAKER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 E 103RD ST APT 2G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-5328
Mailing Address - Country:US
Mailing Address - Phone:646-345-1253
Mailing Address - Fax:
Practice Address - Street 1:421 HUGUENOT ST STE 56
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-7021
Practice Address - Country:US
Practice Address - Phone:646-783-9491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006377213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery