MEDICARE: DR. GEORGE BACH

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	183500000X	Pharmacist	068527	NY

General Provider Information

NPI Number	:	1679425631
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE BACH

Provider Business Mailing Address
First Line	:	51 MOREWOOD DR
Second Line	:
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-2342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	79 MIDDLEVILLE RD
Second Line	:
City	:	NORTHPORT
State	:	NY
Zip	:	11768-2200
Country	:	US
Telephone Number	:	631-261-4400
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ DR. GEORGE BACH ” Practice Location

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