Individual
SITA BASNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-5040
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-5040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F343367
NY
Other
Enumeration date
11/11/2018
Last updated
11/27/2018
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