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Individual

DR. RACHEL M. BAUTISTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 SMITHTOWN BYPASS, SUITE 219, HAUPPAUGE, NY 11788
(631) 726-3355
(631) 726-9751
Mailing address
68 NASSAU RD., HUNTINGTON, NY 11743
(631) 423-5590
(631) 423-9137

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
152584-1
NY

Other

Enumeration date
07/19/2006
Last updated
05/11/2022
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