Individual
JESSE BASTIAENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 E STEVENS AVE STE 108, VALHALLA, NY 10595-1202
(845) 471-1807
(845) 471-1815
Mailing address
4 GLENDALE AVE, ARMONK, NY 10504-1915
(412) 334-1742
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
137683
CA
2084P0800X
Psychiatry Physician
Primary
321236
NY
Other
Enumeration date
03/30/2014
Last updated
05/28/2025
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