KATHRYN JULIA BACCI

STATEN ISLAND, NY
NPI1861075392
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-05-03
Last Update Date2021-05-03
Business Address
KATHRYN JULIA BACCI
1 CAMPUS RD
STATEN ISLAND, NY 10301-4479
Phone number: 718-420-4160
Mailing Address
KATHRYN JULIA BACCI
2 CROSSWICKS RD
FREEHOLD, NJ 07728-3009
Phone number: 908-217-5681