Provider Demographics
NPI:1659421550
Name:BABICH, SARA BETH (DDS)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:BABICH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 E 84TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0901
Mailing Address - Country:US
Mailing Address - Phone:212-988-4970
Mailing Address - Fax:212-988-4072
Practice Address - Street 1:116 E 84TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0901
Practice Address - Country:US
Practice Address - Phone:212-988-4070
Practice Address - Fax:212-988-4072
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046638-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02129142Medicaid