Individual
MINDY A BAUCICOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 NICOLLS RD FL HSC T-9R, STONY BROOK, NY 11794-8091
(631) 444-2783
(631) 444-8954
Mailing address
101 NICOLLS RD FL HSC T-9R, STONY BROOK, NY 11794-8091
(631) 444-2783
(631) 444-8954
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
342408
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
04/24/2026
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