Individual provider · Type 1 NPI

Basilio Nicolo Bautista Iii, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1275384885 Active

Practice location

1901 1st Ave
New York, NY 10029-7494

Call (212) 423-6058 Map

Mailing address

6 Wyncliff Ln
Newark, DE 19711-7525

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275384885

Basilio Nicolo Bautista Iii, MD's National Provider Identifier is 1275384885, issued on Apr 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 1, 2024.