Bautista, Richard James

Bautista, Richard James is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bautista, Richard James can be contacted via phone (718) 667-2388.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 667-2388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 724517-1 New York

Profile Details

NPI number 1578049284
LBN Legal business name Bautista, Richard James
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2018
Last updated Jul 16th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578049284 NPPES
New York MEDICAID 2997157

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