Bast, Andrea

Bast, Andrea is an individual health care provider with primary practice located at 8002 Kew Gardens Rd Suite 704, Kew Gardens NY 11415-3600. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bast, Andrea can be contacted via phone (718) 520-1513.

Contact Information

Primary practice address
8002 Kew Gardens Rd Suite 704 Kew Gardens NY 11415-3600
Phone: (718) 520-1513
Fax: (718) 520-6460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 5765891 New York

Profile Details

NPI number 1891031217
LBN Legal business name Bast, Andrea
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2012
Last updated Dec 13th, 2012 - about 12 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 1891031217 NPPES
New York MEDICAID 03008151

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