Individual
DR. EMIL G BACCASH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 8TH AVENUE, BROOKLYN, NY 11217
(718) 622-7000
(718) 230-0544
Mailing address
20 8TH AVENUE, BROOKLYN, NY 11217
(718) 622-7000
(718) 230-0544
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
143318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00552736
—
NY
Enumeration date
04/26/2006
Last updated
05/03/2021
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