Individual
DR. STEPHEN BASLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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