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Contact Information

BAKER MALDONADO EDNA
686 STONELEIGH AVE
CARMEL, NY10512
 Phone: 845-279-1111
 Fax: 845-225-3805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for BAKER MALDONADO EDNA

NPI Number 1255516696
LBN Legal business name BAKER MALDONADO EDNA
Authorized official EDNA MALDONADO-BAKER - (OWNER PROVIDER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2008
Last updated 10/23/2015 - About 11 years ago
Identifiers
NY License # 006402-1
NY Other 4909390001 DMERC
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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