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Contact Information

ETHAN J BABCOCK
600 W EMBARGO ST
ROME, NY13440-3153
 Phone: 315-360-8084
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Rehabilitation

225XP0019X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ETHAN J BABCOCK · (Male)

NPI Number 1467178558
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2022
Last updated 10/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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