M, Bastawros, Physician, PC
M, Bastawros, Physician, PC is an Exclusive Provider Organization in Staten Island, New York. Licensed in New York. Registered with an NPI since 2014.
- Licensed in
- NY
- In the registry since
- 2014
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
314 Seaview AveStaten Island, NY 10305-2246
Phone: (718) 668-3417
Fax: (718) 668-3420
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 126414 (NY) |
|---|
Record details
| NPI number | 1720495328 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Bastawros — President · (718) 668-3417 |
| Other names | None |
| NPI enumerated | July 15, 2014 |
| Last updated in NPPES | July 15, 2014 |
| Mailing address | 314 Seaview Ave, Staten Island, NY 10305-2246 |
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