Individual
DR. JOSEPH W. BACCHI III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NICHOLLS ROAD HSC LEVEL 9, ROOM 090, STONY BROOK, NY 11794-5216
(631) 444-2714
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2714
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
304059
NY
207V00000X
Obstetrics & Gynecology Physician
P32552
MD
Other
Enumeration date
05/13/2016
Last updated
07/07/2020
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