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Individual

FATIMA J BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3409
(518) 549-5340
Mailing address
PO BOX 5623, ALBANY, NY 12205-0623
(518) 549-5340

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
276617
NY

Other

Enumeration date
05/26/2008
Last updated
12/23/2014
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