DIMITRI BAZIN

NEW YORK, NY
NPI1174067425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  P04485)
Enumeration Date2016-12-06
Last Update Date2016-12-06
Business Address
-- DIMITRI BAZIN PA
3418 BROADWAY OFC 2
NEW YORK, NY 10031-7408
Phone number: 212-283-2099
Mailing Address
-- DIMITRI BAZIN PA
565 W 125TH ST
NEW YORK, NY 10027-3424
Phone number: 212-470-1000