Healthcare Provider Details

I. General information

NPI: 1720086614
Provider Name (Legal Business Name): BABI N USMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SEAVIEW AVE
STATEN ISLAND NY
10305-3436
US

IV. Provider business mailing address

PO BOX 10049
NEW YORK NY
10259-0049
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-2000
  • Fax:
Mailing address:
  • Phone: 201-804-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number295852-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: