Individual provider · Type 1 NPI

Michael B. Bautista, PA-C

Physician Assistant · Flushing, NY

NPI number 1215060090 Active

Practice location

5645 Main St
Flushing, NY 11355-5045

Call (718) 670-2007 Map

Mailing address

235 Walton St
West Hempstead, NY 11552-3027

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X005701 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215060090

Michael B. Bautista, PA-C's National Provider Identifier is 1215060090, issued on Mar 13, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Flushing, NY. The record was last updated on Dec 27, 2022.