MR. Michael B Bautista, PA-C

NPI #1215060090 in Flushing, New York

Provider Information

NPI Number: 1215060090
Entity Type: Individual
Name: MR. Michael B Bautista, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 13, 2007
Last Updated: Dec 27, 2022

Practice Location

Address: 5645 MAIN ST
City: Flushing
State: New York
ZIP Code: 11355-5045
Phone: (718) 670-2007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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