Gabriel Basantes
Physician Assistant in Maspeth, NY. Individual provider (NPI-1).
NPI number1811530652
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1811530652
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Basantes
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2019
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 027079 | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
6084 Mount Olivet CresMaspeth, NY 11378-3451
Phone 347-693-3695
Mailing address
6084 Mount Olivet CresMaspeth, NY 11378-3451
Phone 347-693-3695
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Other Physician Assistant providers in Maspeth, NY
- David ChamplinNPI 1861968034
- Sarah Colon, PA-CNPI 1215782867
- Rosann GregoryNPI 1073743431
- Andrew SayedarousNPI 1891664207
All 5 Physician Assistant providers in Maspeth · All 424 providers in Maspeth
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