Individual
CARLY BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
177 FORT WASHINGTON AVE, NEW YORK, NY 10032-3733
(212) 305-5180
Mailing address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-2500
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
332707
NY
Other
Enumeration date
04/11/2022
Last updated
03/19/2025
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