El-Baba, Fadi

El-Baba, Fadi is an individual health care provider with primary practice located at 4 Technology Dr Ste 150 , East Setauket NY 11733-4085. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. El-Baba, Fadi can be contacted via phone (631) 941-1400.

Contact Information

Primary practice address
4 Technology Dr Ste 150 East Setauket NY 11733-4085
Phone: (631) 941-1400
Fax: (631) 941-1476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 193535 New York
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 193535 New York

Profile Details

NPI number 1811939101
LBN Legal business name El-Baba, Fadi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Sep 9th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811939101 NPPES
New York MEDICAID 01441010

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