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Dr. Basil Thakidipurathu Baby, MD
Student in an Organized Health Care Education/Training Program in Bay Shore, New York
NPI 1790487643

Basil Thakidipurathu Baby is a Student in an Organized Health Care Education/Training Program based in Bay Shore, NY. Basil Thakidipurathu Baby practices in Bay Shore, NY and has the professional credentials of MD. The NPI Number for Basil Thakidipurathu Baby is 1790487643 and holds a License No. (New York).

The current practice location address for Basil Thakidipurathu Baby is 301 E Main St, Bay Shore, NY and can be reached out via phone at 631-968-3503.

Location: 301 E Main St, Bay Shore, NY, 11706-8408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790487643
Provider Name
Basil Thakidipurathu Baby
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 E Main St, Bay Shore, NY, 11706-8408
Phone Number
631-968-3503
Fax Number
Provider Enumeration Date
03/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3503
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3503
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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