Healthcare Provider Details

I. General information

NPI: 1265438774
Provider Name (Legal Business Name): FRANCES A BAHI PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2005
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BROOKDALE RD
GLEN COVE NY
11542-1648
US

IV. Provider business mailing address

19 BROOKDALE RD
GLEN COVE NY
11542-1648
US

V. Phone/Fax

Practice location:
  • Phone: 516-428-1525
  • Fax: 516-977-3266
Mailing address:
  • Phone: 516-428-1525
  • Fax: 516-977-3266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5810
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number005810
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: