MICHAEL THOMAS BAUTISTA

NEW YORK, NY
NPI1053024117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NY  069874)
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
Dr. MICHAEL THOMAS BAUTISTA RPh
130 5TH AVE
NEW YORK, NY 10011-4306
Phone number: 212-835-6920
Mailing Address
Dr. MICHAEL THOMAS BAUTISTA RPh
5 MARK TRL
MEDFORD, NY 11763-2513
Phone number: 631-394-5612