Bass, Shira

Bass, Shira is an individual health care provider with primary practice located at 14447 76Th Ave , Flushing NY 11367-3178. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bass, Shira can be contacted via phone (917) 327-8453.

Contact Information

Primary practice address
14447 76Th Ave Flushing NY 11367-3178
Phone: (917) 327-8453
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 677398-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F43175201 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F431752-01 New York

Profile Details

NPI number 1396140893
LBN Legal business name Bass, Shira
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2014
Last updated Dec 27th, 2020 - about 5 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 1396140893 NPPES
New York Other 677398-1 LICENSE#

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