MRS. Michelle Rozana Bacchus, PA

NPI #1316600745 in Hewlett, New York

Provider Information

NPI Number: 1316600745
Entity Type: Individual
Name: MRS. Michelle Rozana Bacchus, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 21, 2021
Last Updated: Oct 21, 2021

Practice Location

Address: 1800 ROCKAWAY AVE STE 100
City: Hewlett
State: New York
ZIP Code: 11557-1666
Phone: (516) 887-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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