Provider Demographics
NPI:1114921848
Name:BACHMAN, IRA NEIL (MD,FACOG)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:NEIL
Last Name:BACHMAN
Suffix:
Gender:M
Credentials:MD,FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:660 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-2303
Mailing Address - Country:US
Mailing Address - Phone:516-374-1777
Mailing Address - Fax:516-295-9245
Practice Address - Street 1:660 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-2303
Practice Address - Country:US
Practice Address - Phone:516-374-1777
Practice Address - Fax:516-295-9245
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-10
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192114174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5111079OtherAETNA
NY9335843OtherCIGNA
NYOC6527OtherPHYSICIANS HEALTH
NYQU49278OtherMDNY
NY0202045OtherGHI
NY20889OtherHIP
NYP00089322OtherMEDICARE RAILROAD
NY06230IOtherGUEENS MEDICARE
NY60340OtherVYTRA
NY553328OtherHEALTHCARE PARTNERS
NY700890OtherUNITED HEALTHCARE
NYAP985OtherOXFORD
NY1851445Medicaid
NY529801OtherUSHC
NY200151OtherBLUE/CROSS BLUE/SHEILD
NYNS0001694OtherSELECT
NYNS0001694OtherSELECT
NY1851445Medicaid