Individual
MRS. MICHELE LISA BABICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 E MAIN STREET, BAYSHORE, NY 11706-8458
(631) 968-3000
Mailing address
175 THE HELM, EAST ISLIP, NY 11730
(360) 244-0076
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
431771
NY
Other
Enumeration date
07/23/2020
Last updated
03/16/2023
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