Provider Demographics
NPI:1174502751
Name:BAUTISTA-HUSSEY, DEBBIE P (DPM)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:P
Last Name:BAUTISTA-HUSSEY
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:DEBBIE
Other - Middle Name:P
Other - Last Name:BAUTISTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:185 HOBART ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1838
Mailing Address - Country:US
Mailing Address - Phone:646-251-3372
Mailing Address - Fax:
Practice Address - Street 1:391 E 149TH ST
Practice Address - Street 2:SUITE 216
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3907
Practice Address - Country:US
Practice Address - Phone:718-292-7081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006117213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist