Robert Banks Basinger, PA
Physician Assistant in New York, NY. Individual provider (NPI-1).
NPI number1770085516
StatusActive
Last updated in NPPESMar 7, 2018
Details
- NPI
- 1770085516
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Banks Basinger
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2018
- Last updated
- Mar 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 021861 | NY | Yes |
Practice location
73 Spring St Ste 303New York, NY 10012-5800
Phone 212-431-4749 · Fax 917-210-4316
Mailing address
73 Spring St Ste 303New York, NY 10012-5800
Phone 212-431-4749 · Fax 917-210-4316
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