Gabriel Basantes
Gabriel Basantes is a Physician Assistant in Maspeth, New York. Qualified in 2021, 5 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
6084 Mount Olivet CresMaspeth, NY 11378-3451
Phone: (347) 693-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 027079 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1811530652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 24, 2019 |
| Last updated in NPPES | March 16, 2023 |
| Certification date | March 16, 2023 |
| Mailing address | 6084 Mount Olivet Cres, Maspeth, NY 11378-3451 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Icahn School Of Medicine At Mount Sinai — 2791 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Maspeth
-
MS. Suzette Corona
7002 54th Ave, Maspeth, NY 11378-1745 · (718) 639-3817
-
Bronwyn Patricia Hagan, DDS
5829 69th Ln, Maspeth, NY 11378-2623 · (718) 429-6931
-
Dr. Monika Magdalena Pogoda, DDS
5639 Remsen Pl Apt 2, Maspeth, NY 11378-2434 · (347) 968-9599
-
Oksana Polna
5439 69th Pl Apt 1, Maspeth, NY 11378-1809 · (929) 995-0331