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NPI Code Detail

MEDICARE: DEBORAH KIM BASSETT

MEDICARE: DEBORAH KIM BASSETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse6301931NY
2363LF0000XFamily Nurse PractitionerF351202-01NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SSNOTHERNY137606831

General Provider Information

NPI Number : 1376069831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH KIM BASSETT
Provider Business Mailing Address
First Line : 45 HILTON AVE
Second Line :
City : HEMPSTEAD
State : NY
Zip : 11550-2119
Country : US
Telephone Number : 347-785-4937
Fax Number : 516-481-4820
Provider Business Practice Location Address
First Line : 100 BALDWIN RD
Second Line :
City : HEMPSTEAD
State : NY
Zip : 11550-6844
Country : US
Telephone Number : 516-538-7171
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2017
Last Update Date : 02/15/2023

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Directions to “ DEBORAH KIM BASSETT ” Practice Location

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