Individual
DR. LINDA BASTIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5014 BEVERLEY RD, BROOKLYN, NY 11203-5302
(718) 241-0182
(718) 451-2517
Mailing address
5014 BEVERLEY ROAD, BROOKLYN, NY 11203-2607
(718) 241-0182
(718) 451-2517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229297
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03030155
—
NY
Enumeration date
06/07/2006
Last updated
03/20/2015
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