Individual
MR. MICHAEL V. BACERDO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
19 BEEKMAN ST, NEW YORK, NY 10038-1522
(212) 513-7711
(212) 964-4861
Mailing address
19 BEEKMAN ST, NEW YORK, NY 10038-1522
(212) 513-7711
(212) 964-4861
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005310-1
NY
Other
Enumeration date
06/14/2005
Last updated
07/09/2007
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