Individual
DR. STEPHEN BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5892
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5892
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
012733
NY
103T00000X
Psychologist
12733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040602101
UNIVERA
NY
01
—
000912088002
BS WNY/HEALTHNOW
NY
05
—
02074679
—
NY
01
—
2222
BLUE SHIELD GROUP
NY
01
—
680015473
RAILROAD MEDICARE
NY
01
—
7091312
AETNA
NY
01
—
G0180921590
BLUE CHOICE GROUP
NY
01
—
MDG697
PREFERRED CARE
NY
01
—
P010012733
BLUE CHOICE
NY
Enumeration date
07/19/2006
Last updated
07/05/2023
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