Provider Demographics
NPI:1568289858
Name:BAKER, EMILY (BS)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:BAKER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. RAPHAEL'S CAMPUS
Mailing Address - Street 2:330 ORCHARD STREET SUITE 107
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511
Mailing Address - Country:US
Mailing Address - Phone:203-200-4362
Mailing Address - Fax:203-200-1362
Practice Address - Street 1:ST. RAPHAEL'S CAMPUS
Practice Address - Street 2:330 ORCHARD STREET SUITE 107
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511
Practice Address - Country:US
Practice Address - Phone:203-200-4362
Practice Address - Fax:203-200-1362
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator