Bavaro, Nicholas Charles

Bavaro, Nicholas Charles is an individual health care provider with primary practice located at 4601 43Rd Ave , Sunnyside NY 11104-1507. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Bavaro, Nicholas Charles can be contacted via phone (718) 433-2399.

Contact Information

Primary practice address
4601 43Rd Ave Sunnyside NY 11104-1507
Phone: (718) 433-2399
Fax: (718) 433-0483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X X008794 New York

Profile Details

NPI number 1699862300
LBN Legal business name Bavaro, Nicholas Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 2007 - about 17 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 1699862300 NPPES
New York MEDICAID 02090540

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