Individual provider · Type 1 NPI
Katelyn Ann Ignacio Bautista, PA-C
Medical Physician Assistant · New York, NY
NPI number
1861306706
Active
Practice location
215 E 95th St Ste I
New York, NY 10128-4077
Mailing address
60 E 34th St Apt 4F
New York, NY 10016-4331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1861306706
Katelyn Ann Ignacio Bautista, PA-C's National Provider Identifier is 1861306706, issued on Sep 29, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Sep 29, 2026.