DR. Jessie Bautista Pita, MD

NPI #1023136413 in Staten Island, New York

Provider Information

NPI Number: 1023136413
Entity Type: Individual
Name: DR. Jessie Bautista Pita, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Mar 26, 2007
Last Updated: Apr 5, 2012

Practice Location

Address: 235 PORT RICHMOND AVE
City: Staten Island
State: New York
ZIP Code: 10302-1701
Phone: (718) 876-1732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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