Individual
CLAUDIA BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPSS
Contact information
Practice address
1664 E 14TH ST, BROOKLYN, NY 11229-1155
(929) 273-7691
Mailing address
1664 E 14TH ST, BROOKLYN, NY 11229-1155
(929) 273-7691
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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