Dr. Kevin Bachrach, MD
Internal Medicine in Long Island City, NY. Individual provider (NPI-1).
NPI number1366071979
StatusActive
Last updated in NPPESJun 10, 2025
Details
- NPI
- 1366071979
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Bachrach
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2020
- Certification date
- Jun 10, 2025
- Last updated
- Jun 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 328045-01 | NY | Yes |
Practice location
28-25 Jackson AveLong Island City, NY 11101
Phone 646-962-4170
Mailing address
28-25 Jackson AveLong Island City, NY 11101
Phone 646-962-4170
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