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NPI Code Detail

MEDICARE: TRICIA BAUTISTA

MEDICARE: TRICIA BAUTISTA
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
1163W00000XRegistered Nurse719408NY

General Provider Information

NPI Number : 1235714148
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRICIA BAUTISTA
Provider Business Mailing Address
First Line : 787 KING ST
Second Line :
City : RYE BROOK
State : NY
Zip : 10573-1225
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 787 KING ST
Second Line :
City : RYE BROOK
State : NY
Zip : 10573-1225
Country : US
Telephone Number : 914-939-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2021
Last Update Date : 03/11/2021

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Directions to “ TRICIA BAUTISTA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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