Individual
PEGGY BASTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 LYON PLACE, OGDENSBURG, NY 13669
(315) 393-6186
(315) 394-0015
Mailing address
3 LYON PLACE, OGDENSBURG, NY 13669
(315) 393-6186
(315) 394-0015
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
271756
NY
Other
Enumeration date
04/01/2012
Last updated
04/07/2025
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