Individual
FRANCIS BALOLONG BACCAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE3050N, HAWTHORNE, NY 10532-2140
(914) 347-0162
(914) 347-4401
Mailing address
19 BRADHURST AVE, SUITE 3050N, HAWTHORNE, NY 10532-2140
(914) 372-7196
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223189
NY
2086S0102X
Surgical Critical Care Physician
Primary
223189
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02200342
—
NY
Enumeration date
09/01/2005
Last updated
08/14/2014
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