MEDICARE: BABYLON MEDICAL PRACTICE, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207RC0000X	Cardiovascular Disease Physician
2	213E00000X	Podiatrist
3	225100000X	Physical Therapist
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1811967805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABYLON MEDICAL PRACTICE, P.C.

Provider Business Mailing Address
First Line	:	350 WEST MAIN ST
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702
Country	:	US
Telephone Number	:	631-661-2277
Fax Number	:	631-669-2190

Provider Business Practice Location Address
First Line	:	350 WEST MAIN ST
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702
Country	:	US
Telephone Number	:	631-661-2277
Fax Number	:	631-669-2190

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HOWARD MICHAEL HERTZ
Credential	:	MD
Telephone Number	:	631-661-2277

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	06/15/2010

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Directions to “BABYLON MEDICAL PRACTICE, P.C. ” Practice Location

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