Patrick Perez Bautista

NPI #1295869337 in Queens Village, New York

Provider Information

NPI Number: 1295869337
Entity Type: Individual
Name: Patrick Perez Bautista
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Mar 14, 2007
Last Updated: Jan 17, 2013

Practice Location

Address: 9118 VANDERVEER ST
City: Queens Village
State: New York
ZIP Code: 11428-1242
Phone: (718) 581-9682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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