Individual
ALICIA BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032
(707) 344-2097
Mailing address
331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15357100
NJ
363LF0000X
Family Nurse Practitioner
95003307
CA
363LF0000X
Family Nurse Practitioner
F341946
NY
Other
Enumeration date
02/21/2016
Last updated
11/18/2025
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