Individual
DR. JOSEPH RYAN BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30 W 24TH ST FL 2, NEW YORK, NY 10010-3560
(212) 366-5100
Mailing address
30 W 24TH ST FL 2, NEW YORK, NY 10010-3560
(212) 366-5100
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
297723
NY
Other
Enumeration date
04/20/2016
Last updated
04/27/2020
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