None

LBN: M,Bastawros,Physician,P.C.
None is an health care organization with primary practice located at 314 Seaview Ave , Staten Island NY 10305-2246. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. M,Bastawros,Physician,P.C. can be contacted via phone (718) 668-3417, or through Bastawros, Mary N via phone (718) 668-3417.

Contact Information

Primary practice address
314 Seaview Ave Staten Island NY 10305-2246
Phone: (718) 668-3417
Fax: (718) 668-3420
Website:
Map and Directions
Authorized official contact:
Name: Bastawros, Mary N Doctor of Medicine (MD)
Phone: (718) 668-3417

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 126414 New York

Profile Details

NPI number 1720495328
LBN Legal business name M,Bastawros,Physician,P.C.
DBA Doing business as None
Authorized official Bastawros, Mary N Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2014
Last updated Jul 15th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720495328 NPPES
New York MEDICAID 00597044

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