Individual
CHRISTIAN BAHIA RESURRECCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
63 FERNCLIFF RD, JERSEY CITY, NJ 07305-1211
(551) 689-2514
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
025257
NY
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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