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Archana Babu

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Archana Babu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1750743357
Provider Type
Individual
Full Name
Babu, Archana
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
3/22/2016
Last Updated
1/24/2017

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

87 Oneida Ave, Staten Island, NY 10301-4319

(718) 873-7704

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 0205061 New York

Archana Babu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Sommers, Stephanie

Cheung, Jason

Compton, Korrine A

Tantawi, Nada Sherif

Guadagno, Lynn Marie

Anees, Insherah

Johnson, Stelin

Suarez, Michelle

Marchese, Robert Vito

Boss, Evelyn