Individual
NANCY BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 E 98TH ST, 12TH FL, NEW YORK, NY 10029-6501
(212) 241-8035
(212) 241-2064
Mailing address
1 GUSTAVE L LEVY PL, BOX 1104, NEW YORK, NY 10029-6500
(212) 241-8035
(212) 241-2064
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
165380
NY
207RG0100X
Gastroenterology Physician
165380
NY
207RI0008X
Hepatology Physician
Primary
165380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01322527
—
NY
05
—
7874600
—
NJ
Enumeration date
07/18/2006
Last updated
05/16/2012
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