Individual
KEVIN CHRISTOPHER BAYACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
289166
NC
163WC0200X
Critical Care Medicine Registered Nurse
870966
NY
163WC0200X
Critical Care Medicine Registered Nurse
95329745
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
144981
NY
Other
Enumeration date
06/30/2021
Last updated
12/19/2024
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