Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MA. LEAH CYNTHIA BAUTISTA-QUAN
Active
Individual
MA. LEAH CYNTHIA BAUTISTA-QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0-19849-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QM4052
BLUECROSS/BLUESHIELD
NY
Enumeration date
06/29/2006
Last updated
02/07/2022
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