MICHAEL B BAUTISTA

FLUSHING, NY
NPI1215060090
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  005701)
Enumeration Date2007-03-13
Last Update Date2022-12-27
Business Address
Mr. MICHAEL B BAUTISTA PA-C
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2007
Mailing Address
Mr. MICHAEL B BAUTISTA PA-C
235 WALTON ST
WEST HEMPSTEAD, NY 11552-3027
Phone number: 516-481-0242
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