Bautista, Katherine

Bautista, Katherine is an sole proprietor health care provider with primary practice located at 777 Seaview Ave , Staten Island NY 10305-3409. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Bautista, Katherine can be contacted via phone (718) 667-2591.

Contact Information

Primary practice address
777 Seaview Ave Staten Island NY 10305-3409
Phone: (718) 667-2591
Fax: (718) 667-2586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 694394 New York
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 694394 New York

Profile Details

NPI number 1437508504
LBN Legal business name Bautista, Katherine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2016
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437508504 NPPES
New York MEDICAID 2997157

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