James Bashaw
Peer Specialist in Malone, NY. Individual provider (NPI-1).
NPI number1750197695
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1750197695
- Entity type
- Individual (NPI-1)
- Name
- James Bashaw
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2024
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
125 Finney BlvdMalone, NY 12953-1067
Phone 518-481-8160 · Fax 518-481-8161
Mailing address
324 County Route 51 Bldg 1Malone, NY 12953-4502
Phone 518-483-1251 · Fax 518-483-2242
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All 60 Peer Specialist providers in Malone · All 746 providers in Malone
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