Michael B Bautista in Flushing - Physician Assistant
Michael B Bautista - NPI 1215060090
Michael B Bautista is a Physician Assistant in Flushing, New York. Michael B Bautista practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael B Bautista is 1215060090. The last update date is 2022-12-27.
Michael B Bautista's current location address is 5645 Main St, Flushing, New York. You can contact this provider via phone number 7186702007. The mailing address for Michael B Bautista is 5645 Main St, Flushing, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael B Bautista |
|---|---|
| Address | 5645 Main St, Flushing, New York |
| Phone Number | 7186702007 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1215060090 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2022-12-27 |
Provider Mailing Address Detail
| Address | 5645 Main St |
|---|---|
| City | Flushing |
| State | New York (NY) |
| Post Code | 113555045 |
| Phone Number | 7186702007 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5701 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Michael B Bautista by the Centers for Medicare & Medicaid Services?
The Michael B Bautista has been issued the NPI (National Provider Identifier) 1215060090 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Michael B Bautista?
The Michael B Bautista is situated at 5645 Main St, in the city of Flushing, state of NY, with the zip code 113555045.
What is Michael B Bautista's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael B Bautista's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date was the 1215060090 assigned to Michael B Bautista?
The Michael B Bautista was issued its 1215060090 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Michael B Bautista most recently updated or revised?
The details related to Michael B Bautista, including its address, specialty, and other relevant information, were last updated or revised on 2022-12-27.