Individual provider · NPI-1

Dr. Mina Baskhron, DPM

Podiatrist, Foot & Ankle Surgery · Staten Island, NY

NPI number1457791881
StatusActive
Last updated in NPPESFeb 18, 2016

Details

NPI
1457791881
Entity type
Individual (NPI-1)
Name
Dr. Mina Baskhron
Credential
DPM
Sex
Male
Sole proprietor
No
Enumeration date
Jun 30, 2013
Last updated
Feb 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213ES0103X Podiatrist, Foot & Ankle SurgeryN006593-1NYYes

Practice location

970 Bard Ave
Staten Island, NY 10301-3322

Phone 718-720-6866 · Fax 718-720-6931

Mailing address

970 Bard Ave
Staten Island, NY 10301-3322

Phone 718-720-6866 · Fax 718-720-6931

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