Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shari Diane Reitzen-Bastidas, MD

Individual provider Facial Plastic Surgery Physician · NPI 1225173370

Dr. Shari Diane Reitzen-Bastidas, MD is an Otolaryngology in New York, New York. Graduated from New York University School of Medicine in 2004, 22 years ago. Licensed in New York.

Years since qualifying
22
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

715 Park Ave Ste 2
New York, NY 10021-5047
Phone: (347) 557-8368
Fax: (646) 304-1278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 240998 (NY)

Record details

NPI number1225173370
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 20, 2007
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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