Stephanie Bacharach
Physician Assistant, Medical in Hollis, NY. Individual provider (NPI-1).
NPI number1982178752
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1982178752
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Bacharach
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2019
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
8682 Palermo StHollis, NY 11423-1220
Phone 917-574-7279
Mailing address
8682 Palermo StHollis, NY 11423-1220
Phone 917-574-7279
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Medical Physician Assistant providers in Hollis, NY
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.