Individual
STEPHANIE BACHARACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8682 PALERMO ST, HOLLIS, NY 11423-1220
(917) 574-7279
Mailing address
8682 PALERMO ST, HOLLIS, NY 11423-1220
(917) 574-7279
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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