Individual
ALEXANDRA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 RYER AVE, BRONX, NY 10457-1104
(718) 960-0639
Mailing address
558 W 181ST ST APT I, NEW YORK, NY 10033-5029
(917) 541-5379
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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