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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DIMITRI BAZIN, PA

Active

DIMITRI BAZIN, PA is a Medical Physician Assistant healthcare provider located in NEW YORK, New York. NPI 1174067425 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEW YORK, NY

Registration Details

NPI Number
1174067425
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2016 (9.6961793330394 yrs)
Last Updated
Dec 6, 2016
License
P04485 (NY)

Practice Information

Address
3418 BROADWAY OFC 2
NEW YORK, NY, 100317408
Browse NY providers · Browse ZIP 10031
Phone
2122832099
Primary Specialty
Medical Physician Assistant
363AM0700X

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WILLIAM VINCENT MARINO PA 1558365387
SUSAN E JEWETT PA 1033116124
MS. CARRIE DOOLAN PA-C 1154322667
MR. THOMAS STEPHEN MARINO PA-C 1619978806
LAURA BROWN ALLEN PA-C 1760469068
MS. ANUPAMA SEKAR RPA-C 1134196223
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.