Individual provider · Type 1 NPI

Jerdene Bachus

Specialist · Plainview, NY

NPI number 1124756515 Active

Practice location

255 Executive Dr
Plainview, NY 11803-1718

Call (347) 965-4381 Map

Mailing address

13824 232nd St
Laurelton, NY 11413-2837

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124756515

Jerdene Bachus's National Provider Identifier is 1124756515, issued on Aug 12, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Plainview, NY. The record was last updated on Aug 12, 2022.