Individual
MICHAEL BABILA FOGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(212) 523-8158
Mailing address
1356 GREENRIDGE AVE, LITHONIA, GA 30058-2210
(912) 401-3325
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
311517
NY
Other
Enumeration date
04/30/2018
Last updated
06/16/2022
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