Healthcare Provider Details

I. General information

NPI: 1679409734
Provider Name (Legal Business Name): PAITON F BASINSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HERTEL AVE # 101
BUFFALO NY
14207-1906
US

IV. Provider business mailing address

800 HERTEL AVE # 101
BUFFALO NY
14207-1906
US

V. Phone/Fax

Practice location:
  • Phone: 716-566-5007
  • Fax:
Mailing address:
  • Phone: 716-566-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number036848
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: