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NPI Code Detail

MEDICARE: EMILY BHUTIANI

MEDICARE: EMILY BHUTIANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician Assistant027013NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1027013OTHERNYNYS BOARD

General Provider Information

NPI Number : 1679102107
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY BHUTIANI
Provider Business Mailing Address
First Line : 570 LEXINGTON AVE FL 9
Second Line :
City : NEW YORK
State : NY
Zip : 10022-6710
Country : US
Telephone Number : 646-962-7277
Fax Number :
Provider Business Practice Location Address
First Line : 570 LEXINGTON AVE FL 9
Second Line :
City : NEW YORK
State : NY
Zip : 10022-6710
Country : US
Telephone Number : 646-962-7277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2020
Last Update Date : 08/12/2021

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Directions to “ EMILY BHUTIANI ” Practice Location

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