Provider Demographics
NPI:1497962799
Name:GARAIS, BABE CELEDONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:BABE
Middle Name:CELEDONIO
Last Name:GARAIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 VAN VALKENBURGH AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-2648
Mailing Address - Country:US
Mailing Address - Phone:201-387-6855
Mailing Address - Fax:845-680-5526
Practice Address - Street 1:1011 WASHINGTON AVE
Practice Address - Street 2:FEDCAP BEHAVIORAL HEALTH SERVICES
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-6619
Practice Address - Country:US
Practice Address - Phone:845-680-8696
Practice Address - Fax:845-680-5526
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1680832084P0800X, 261QM0850X, 283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No283Q00000XHospitalsPsychiatric Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01025098Medicare UPIN