Bascom, Trina Binta

Bascom, Trina Binta is an sole proprietor health care provider with primary practice located at 11207 Rockaway Blvd , South Ozone Park NY 11420-1031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bascom, Trina Binta can be contacted via phone (917) 361-4502.

Contact Information

Primary practice address
11207 Rockaway Blvd South Ozone Park NY 11420-1031
Phone: (917) 361-4502
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 402773 New York

Profile Details

NPI number 1659842078
LBN Legal business name Bascom, Trina Binta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2018
Last updated Jun 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659842078 NPPES
New York MEDICAID 610850

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