Basin, Sergey Yevgenyevich

Basin, Sergey Yevgenyevich is an individual health care provider with primary practice located at 707 Elizabeth Ave , Elizabeth NJ 07201-2806. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Basin, Sergey Yevgenyevich can be contacted via phone (908) 354-1500.

Contact Information

Primary practice address
707 Elizabeth Ave Elizabeth NJ 07201-2806
Phone: (908) 354-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 052095 New York
Dental Providers / General Practice 1223G0001X 22DI02292100 New Jersey

Profile Details

NPI number 1578600326
LBN Legal business name Basin, Sergey Yevgenyevich
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Mar 12th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578600326 NPPES
New York MEDICAID 02664973
New York MEDICAID 0150258

Popular Providers