MEDICARE: DR. ROBERT BARTON BABCOCK 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	207RH0000X	Hematology (Internal Medicine) Physician	113233-1	NY

General Provider Information

NPI Number	:	1194787564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BARTON BABCOCK M.D.

Provider Business Mailing Address
First Line	:	400 FORT HILL AVE
Second Line	:	CANANDAIGUA VA MEDICAL CENTER
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1159
Country	:	US
Telephone Number	:	585-393-7211
Fax Number	:	585-393-8328

Provider Business Practice Location Address
First Line	:	400 FORT HILL AVE
Second Line	:	CANANDAIGUA VA MEDICAL CENTER
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1159
Country	:	US
Telephone Number	:	585-393-7211
Fax Number	:	585-393-8328

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/10/2007

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