MATTHEW BACH

BRONX, NY
NPI1669994745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F404160)
Additional Taxonomies163W00000X Registered Nurse
(Licence: NY  717975)
Enumeration Date2017-07-11
Last Update Date2022-06-14
Business Address
MATTHEW BACH
1420 FERRIS PL
BRONX, NY 10461-3611
Phone number: 516-376-3577
Mailing Address
MATTHEW BACH
640 ADAMS PL
WEST HEMPSTEAD, NY 11552-3210
Phone number: 516-376-3577