Bautista, Michael B

Bautista, Michael B is an individual health care provider with primary practice located at 5645 Main St , Flushing NY 11355-5045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bautista, Michael B can be contacted via phone (718) 670-2007.

Contact Information

Primary practice address
5645 Main St Flushing NY 11355-5045
Phone: (718) 670-2007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 005701 New York

Profile Details

NPI number 1215060090
LBN Legal business name Bautista, Michael B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Dec 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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