Richard Bautista
Richard Bautista is a Clinical Social Worker in New York, New York. Graduated from Fordham University School of Medicine in 1975, 51 years ago. Practices with Jewish Board of Family and Childrens Services Inc, a 127-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 51
- Trained at
- Fordham University School of Medicine
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
651 Academy StNew York, NY 10034-5003
Phone: (212) 942-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 018964 (NY) |
|---|
Record details
| NPI number | 1235253493 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | CLINICAL SOCIAL WORKER |
|---|---|
| Medical school | FORDHAM UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1975 (51 years in practice) |
| Group practice | Jewish Board Of Family And Childrens Services Inc — 127 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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