Provider Demographics
NPI:1588112031
Name:BABAK TOFIGHI, MD
Entity type:Organization
Organization Name:BABAK TOFIGHI, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BABAK
Authorized Official - Middle Name:
Authorized Official - Last Name:TOFIGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-294-7477
Mailing Address - Street 1:229 E 28TH ST
Mailing Address - Street 2:APT 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8507
Mailing Address - Country:US
Mailing Address - Phone:410-294-7477
Mailing Address - Fax:
Practice Address - Street 1:229 E 28TH ST
Practice Address - Street 2:APT 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8507
Practice Address - Country:US
Practice Address - Phone:410-294-7477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267263261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1285896217Medicare PIN