Individual
DR. JENNIFER ALISHA BASSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
505 E 70TH ST, 3RD FLOOR, BOX 128, NEW YORK, NY 10021-4872
(646) 962-2205
Mailing address
505 E 70TH ST, 3RD FLOOR, BOX 128, NEW YORK, NY 10021-4872
(646) 962-2205
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
259743
NY
208000000X
Pediatrics Physician
259743
NY
Other
Enumeration date
12/23/2010
Last updated
06/25/2019
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