MEDICARE: JOHN D BABB MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1609963644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN D BABB MD PC

Provider Business Mailing Address
First Line	:	185 MONTAGUE ST
Second Line	:	12TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3608
Country	:	US
Telephone Number	:	718-783-1616
Fax Number	:	718-783-8002

Provider Business Practice Location Address
First Line	:	185 MONTAGUE ST
Second Line	:	12TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3608
Country	:	US
Telephone Number	:	718-783-1616
Fax Number	:	718-783-8002

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN DENZIL BABB
Credential	:	MD
Telephone Number	:	718-783-1616

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	08/22/2020

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