Individual
ROSA E BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
19 GREENRIDGE AVE, WHITE PLAINS, NY 10605-1201
(914) 949-7680
(914) 997-4972
Mailing address
1156 N BROADWAY, YONKERS, NY 10701-1108
(914) 965-3700
(914) 997-4972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
052760
NY
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
—
1285628552
AGENCY NPI #
NY
01
—
WVE061
AGENCY MEDICARE ID#
NY
Enumeration date
12/12/2006
Last updated
04/06/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us