Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 223189 | NY |
N | 208600000X | Surgeon | 223189 | NY |
Y | 2086S0102X | Surgical Critical Care | 223189 | NY |
NPI | 1346234630 |
---|---|
Provider Name | Francis Balolong Baccay |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Hawthorne, NY 10532-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 14/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02200342 | (05) | NY |
H53675 | (02) | NY |