Organization
RACHEL M. BAUTISTA, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE RAINONE (PRACTICE MANAGER)
(631) 360-3442
Entity
Organization
Contact information
Practice address
227 MOUNT PLEASANT RD, HAUPPAUGE, NY 11788-2709
(631) 360-0877
(631) 360-3317
Mailing address
227 MOUNT PLEASANT RD, HAUPPAUGE, NY 11788-2709
(631) 360-0877
(631) 360-3317
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
152584
NY
Other
Enumeration date
08/27/2007
Last updated
10/01/2008
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