Individual
BRITTNEY BAUTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 CROOKED HILL RD, BRENTWOOD, NY 11717-1039
(631) 231-3232
Mailing address
96 BRUNSWICK RD, RONKONKOMA, NY 11779-1647
(718) 600-1309
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NY12773
NY
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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