Provider Demographics
NPI:1043995566
Name:BAKSH, DAVID H
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:BAKSH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 ALCOTT PL APT 17B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4234
Mailing Address - Country:US
Mailing Address - Phone:917-570-4521
Mailing Address - Fax:
Practice Address - Street 1:120 ALCOTT PL APT 17B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4234
Practice Address - Country:US
Practice Address - Phone:917-570-4521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health