Bashford, Mark Everett

Bashford, Mark Everett is an individual health care provider with primary practice located at 216 1St St , Mineola NY 11501-3901. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bashford, Mark Everett can be contacted via phone (516) 741-0570.

Contact Information

Primary practice address
216 1St St Mineola NY 11501-3901
Phone: (516) 741-0570
Fax: (516) 741-8276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 540595 New York

Profile Details

NPI number 1942577085
LBN Legal business name Bashford, Mark Everett
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2011
Last updated Nov 17th, 2011 - about 13 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 1942577085 NPPES
New York Other 540595 LICENSE

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