Individual
DR. SHARI DIANE REITZEN-BASTIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
715 PARK AVE STE 2, NEW YORK, NY 10021-5047
(347) 557-8368
(646) 304-1278
Mailing address
715 PARK AVE STE 2, NEW YORK, NY 10021-5047
(347) 557-8368
(646) 304-1278
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
240998
NY
Other
Enumeration date
02/20/2007
Last updated
11/02/2022
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