Provider Demographics
NPI:1457523326
Name:BAKSHY, ARIC
Entity Type:Individual
Prefix:DR
First Name:ARIC
Middle Name:
Last Name:BAKSHY
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 1:327 GRAND STREET
Mailing Address - Street 2:APT #4F
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10002
Mailing Address - Country:US
Mailing Address - Phone:773-732-2919
Mailing Address - Fax:
Practice Address - Street 1:327 GRAND ST APT 4F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-4562
Practice Address - Country:US
Practice Address - Phone:773-732-2919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY240668207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine