Orlando Vic Bautista, M.D.

NPI #1386695492 in Hauppauge, New York

Provider Information

NPI Number: 1386695492
Entity Type: Individual
Name: Orlando Vic Bautista, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 13, 2006
Last Updated: Oct 1, 2008

Practice Location

Address: 227 MOUNT PLEASANT RD
City: Hauppauge
State: New York
ZIP Code: 11788-2709
Phone: (631) 360-3442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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