Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dimitri Bazin, PA

Individual provider Medical Physician Assistant · NPI 1174067425

Dimitri Bazin, PA is a Medical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3418 Broadway Ofc 2
New York, NY 10031-7408
Phone: (212) 283-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence P04485 (NY)

Record details

NPI number1174067425
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 6, 2016
Last updated in NPPESDecember 6, 2016

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