MEDICARE: JOHN DENZIL BABB M.D.

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	1465951	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1C5965	OTHER	NY	PHS
3	113000396	OTHER	NY	EMPIREPLAN
4	146595-A21	OTHER	NY	HEALTHFIRST65
5	566025	OTHER	NY	UNITED HEALTHCARE
6	164587	OTHER	NY	ELDERPLAN
7	4270599	OTHER	NY	AETNA
8	566025	OTHER	NY	UNITED HEALTH CARE
9	113000396	OTHER	NY	NATIONAL BENEFIT PLAN
10	4270599	OTHER	NY	AETNAUSHEALTH
11	KS0101	OTHER	NY	OXFORD
12	0021193	OTHER	NY	GHI
13	27342P	OTHER	NY	HIP

General Provider Information

NPI Number	:	1003819343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN DENZIL BABB M.D.

Provider Business Mailing Address
First Line	:	185 MONTAGUE ST
Second Line	:	FL 12
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3600
Country	:	US
Telephone Number	:	718-783-1616
Fax Number	:	718-783-8002

Provider Business Practice Location Address
First Line	:	185 MONTAGUE ST
Second Line	:	FL 12
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3600
Country	:	US
Telephone Number	:	718-783-1616
Fax Number	:	718-783-8002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	07/30/2019

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