Provider Demographics
NPI:1841433240
Name:BAKER, GAIL L (LPN)
Entity Type:Individual
Prefix:MISS
First Name:GAIL
Middle Name:L
Last Name:BAKER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MRS
Other - First Name:GAIL
Other - Middle Name:L
Other - Last Name:PIERCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:2050 MADISON AVE
Mailing Address - Street 2:APT # 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-1098
Mailing Address - Country:US
Mailing Address - Phone:212-991-8018
Mailing Address - Fax:212-722-7383
Practice Address - Street 1:2050 MADISON AVE
Practice Address - Street 2:APT # 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-1098
Practice Address - Country:US
Practice Address - Phone:212-991-8018
Practice Address - Fax:212-722-7383
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195757-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse