Michelle Baek, FNP
Individual provider Active NPI Family Nurse Practitioner · Greenlawn, NY
NPI 1689082802 · NPPES record last updated Jan 14, 2016
Key facts
- NPI
- 1689082802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F338570-1 (NY)
- Practice address
- 284 Pulaski Rd
Greenlawn, NY 11740-1602 - Phone
- (631) 425-5250
- NPI assigned
- Jul 31, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F338570-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F338570-1 | NY | Yes |
Addresses
Primary practice location
284 Pulaski Rd
Greenlawn, NY 11740-1602
Mailing address
4295 Hempstead Tpke
Bethpage, NY 11714-5713
Phone (516) 520-2649
Other providers in Greenlawn, NY
- Eric Arguelles
- Aronowsky Chiropractic
- Neha Arora
- Joyce Au
- Aw Consulting Services Inc.
- Laura Balalaos
- Christopher Balducci
- Eric Ballecer
- Anna Mary Lauren Ballosingh-Picard
- Sherry Baran
All providers in Greenlawn, NY · Family Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.