Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 113233-1 | NY |
NPI | 1194787564 |
---|---|
Provider Name | Dr. Robert Barton Babcock |
First Address | Canandaigua, NY 14424-1159 |
Second Address | Canandaigua, NY 14424-1159 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 10/07/2007 |