Provider Demographics
NPI:1902934177
Name:ANNETTE BAGGOTT MD PC
Entity Type:Organization
Organization Name:ANNETTE BAGGOTT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPC
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALLBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:516-616-4982
Mailing Address - Street 1:371 MERRICK ROAD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5301
Mailing Address - Country:US
Mailing Address - Phone:516-766-4500
Mailing Address - Fax:516-766-0744
Practice Address - Street 1:371 MERRICK ROAD
Practice Address - Street 2:SUITE 203
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-5301
Practice Address - Country:US
Practice Address - Phone:516-799-2554
Practice Address - Fax:516-766-0744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY173851207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWWQ911Medicare PIN