Richard Bautista, | |
651 Academy St, New York, NY 10034-5003 | |
(212) 942-0043 | |
Not Available |
Full Name | Richard Bautista |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 49 Years |
Location | 651 Academy St, New York, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235253493 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 018964 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Inwood Community Services, Inc | 1850608100 | 8 |
Jewish Board Of Family And Childrens Services Inc | 5092607333 | 108 |
Entity Name | Jewish Board Of Family & Childrens Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689755662 PECOS PAC ID: 5092607333 Enrollment ID: O20040330000048 |
Entity Name | Inwood Community Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083771232 PECOS PAC ID: 1850608100 Enrollment ID: O20150918000268 |
Mailing Address | Practice Location Address |
---|---|
Richard Bautista, 1001 Jerome Ave Apt 5h, Bronx, NY 10452-5762 Ph: (212) 942-0043 | Richard Bautista, 651 Academy St, New York, NY 10034-5003 Ph: (212) 942-0043 |
Mr. Robert Diamond, LCSW-R Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 271 Madison Ave Ste 1102, New York, NY 10016 Phone: 212-740-3689 | |
Dr. Carole Avon Patterson, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 144 W 12th St, Reiss 4th Floor, New York, NY 10011 Phone: 212-604-8441 | |
Ms. Maureen Theresa Sheehan, MSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 853 Broadway, Suite 1201, New York, NY 10003 Phone: 646-266-8712 | |
Ms. Debra Roth, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 80 University Pl, 2nd Floor, New York, NY 10003 Phone: 212-352-8282 | |
Ms. Antonia Depalma-brandt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 156 5th Ave, Suite 508, New York, NY 10010 Phone: 212-714-4539 | |
Ms. Alvita Liktorius, M.S. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24 5th Ave, Ground Floor Suite, New York, NY 10011 Phone: 212-529-3768 | |
Jocelyn Reeve Childs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1841 Broadway, 4th Fl, New York, NY 10023 Phone: 212-333-3444 |