person
Dimitri Bazin, PA
Medical Physician Assistant in New York, New York
NPI 1174067425

Dimitri Bazin is a Medical Physician Assistant based in New York, NY and is specialized in Medical. Dimitri Bazin practices in New York, NY and has the professional credentials of PA. The NPI Number for Dimitri Bazin is 1174067425 and holds a License No. P04485 (New York).

The current practice location address for Dimitri Bazin is 3418 Broadway Ofc 2, New York, NY and can be reached out via phone at 212-283-2099.

Location: 3418 Broadway Ofc 2, New York, NY, 10027-3424
person
Provider Profile Details
NPI Number
1174067425
Provider Name
Dimitri Bazin
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3418 Broadway Ofc 2, New York, NY, 10027-3424
Phone Number
212-283-2099
Fax Number
Provider Enumeration Date
12/06/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3418 Broadway Ofc 2
City
State
Zip
10031-7408
Phone Number
212-283-2099
Fax Number
person
Provider Business Mailing Address Details
Address
3418 Broadway Ofc 2
City
State
Zip
10031-7408
Phone Number
212-283-2099
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
P04485 (New York)
Definition
Definition to come...
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