Healthcare Provider Details

I. General information

NPI: 1619363090
Provider Name (Legal Business Name): ANN PIA BABY MBBS, MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2015
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 N MIDLAND AVE
NYACK NY
10960-1912
US

IV. Provider business mailing address

160 N MIDLAND AVE STE 2ND
NYACK NY
10960-1912
US

V. Phone/Fax

Practice location:
  • Phone: 845-897-8371
  • Fax:
Mailing address:
  • Phone: 845-897-8371
  • Fax: 845-704-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number297680
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: