Individual
MRS. BABETTE BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
130 E 77TH ST, 7TH FLOOR, NEW YORK, NY 10075-1851
(516) 622-6000
(516) 608-6819
Mailing address
PO BOX 1326, MORRISTOWN, NJ 07962-1326
(973) 538-2334
(973) 538-1297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005309-1
NY
Other
Enumeration date
06/16/2006
Last updated
07/13/2009
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