Organization
BAUSBACK & MCGARRY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA BAUSBACK DMD (DENTIST/OWNER)
(518) 439-9939
Entity
Organization
Contact information
Practice address
840 KENWOOD AVE, SLINGERLANDS, NY 12159-9668
(518) 439-9939
Mailing address
840 KENWOOD AVE, PO BOX 189, SLINGERLANDS, NY 12159-9668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0453311
NY
1223G0001X
General Practice Dentistry
0504081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4714
—
NY
Enumeration date
10/09/2012
Last updated
10/09/2012
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