Baby B.a.C.K. Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BABY B.A.C.K. INC.

Practice address

107 Cornell Ave
Syracuse, NY 13207-2108

Phone

(315) 424-6080

Fax

(315) 424-6080

NPI assigned

Jul 23, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gerald A Seals

Title

Executive Director

Phone

(315) 424-6080

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1871978585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CORNELL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132072108",
            "telephone_number": "315-424-6080",
            "fax_number": "315-424-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CORNELL AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132072108",
            "telephone_number": "315-424-6080",
            "fax_number": "315-424-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABY B.A.C.K. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "SEALS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-424-6080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suraiya A Aziz, MD
• Kara Azria
• Bethany Lynn Azzarelli, PA
• Munkhzul Baatarsuren, CRNA
• Dominic Babayova
• David Bach, DO
• Edward M Bach, DO
• Jamie Kaye Bach, MSN, SCRN, ACNPC-AG
• Janice E Bach, MD
• Kelly Marie Bach, PHARMD

• Community/Behavioral Health Agency in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.