Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mindy A Baucicot, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003444670

Mindy A Baucicot, MD is an Obstetrics/Gynecology in Stony Brook, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Nicolls Rd Fl Hsc T-9R
Stony Brook, NY 11794-8091
Phone: (631) 444-2783
Fax: (631) 444-8954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 342408 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003444670
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address101 Nicolls Rd Fl Hsc T-9r, Stony Brook, NY 11794-8091

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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