Bacha, Emile A
Bacha, Emile A is an individual health care provider with primary practice located at 3959 Broadway Bhn 274, New York NY 10032-1559. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Bacha, Emile A can be contacted via phone (212) 305-2688.Contact Information
Primary practice address
3959 Broadway Bhn 274
New York NY 10032-1559
Phone: (212) 305-2688
Fax: (212) 305-4408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 255773-1 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 152285 | Massachusetts |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 152285 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 255773-1 | New York |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 255773-1 | New York |
Profile Details
| NPI number | 1396856159 |
|---|---|
| LBN Legal business name | Bacha, Emile A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 6th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396856159 | NPPES |
| New York | MEDICAID | 1922518 | |
| New York | MEDICAID | 3189007 |
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