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NPI Code Detail

MEDICARE: MRS. JHON BASTIEN LPN

MEDICARE: MRS. JHON BASTIEN LPN
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
1164W00000XLicensed Practical Nurse29742-1NY

General Provider Information

NPI Number : 1730467077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JHON BASTIEN LPN
Provider Business Mailing Address
First Line : 1334 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-5638
Country : US
Telephone Number : 347-683-5057
Fax Number :
Provider Business Practice Location Address
First Line : 1334 ALBANY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-5638
Country : US
Telephone Number : 347-683-5057
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2011
Last Update Date : 08/03/2011

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