JOSE BASTIDAS

BRONX, NY
NPI1578104642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  024304)
Enumeration Date2019-09-30
Last Update Date2019-11-27
Business Address
JOSE BASTIDAS PA
2015 GRAND CONCOURSE
BRONX, NY 10453-4303
Phone number: 718-299-7294
Mailing Address
JOSE BASTIDAS PA
1434 WILLIAMSBRIDGE RD
BRONX, NY 10461-2507
Phone number: 718-618-0401
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