DEMETRI N BARTLEY


Address: 1804 Bogart Ave Fl 2, Bronx, NY 10462-3702
Phone: 3476211540

DEMETRI N BARTLEY (NPI# 1629365994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629365994
Entity Type Individual
Full Name DEMETRI N BARTLEY
Credential PA-C
Practice Address 1804 Bogart Ave Fl 2
Bronx
NY 10462-3702
Practice Telephone 3476211540
Enumeration Date 2011-07-07
Last Update Date 2011-07-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
014861 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1804 BOGART AVE FL 2
City BRONX
State NY
Zip Code 10462-3702

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1235532078 Ethan Searles Physician Assistant 91 Poplar Ave, Bronx, NY 10465-3943 2014-10-08
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1588934814 Melinda Jimenez Physician Assistant 2306 Walton Ave, Bronx, NY 10468-7102 2012-01-03
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Competitor

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City BRONX
Zip Code 10462

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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