Provider Demographics
NPI:1982745832
Name:BABB, FRANK CAESAR (MD,)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:CAESAR
Last Name:BABB
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 ST NICHOLAS AVENUE A8
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-926-6900
Mailing Address - Fax:212-926-3933
Practice Address - Street 1:870 SAINT NICHOLAS AVE APT A8
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-5269
Practice Address - Country:US
Practice Address - Phone:212-926-6900
Practice Address - Fax:212-926-3933
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148050207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00964076Medicaid
NYB19598Medicare UPIN
NY00964076Medicaid