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Individual

DEBORAH KIM BASSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
100 BALDWIN RD, HEMPSTEAD, NY 11550-6844
(516) 538-7171
Mailing address
45 HILTON AVE, HEMPSTEAD, NY 11550-2119
(347) 785-4937
(516) 481-4820

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6301931
NY
363LF0000X
Family Nurse Practitioner
Primary
F351202-01
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SSN
137606831
NY
Enumeration date
08/16/2017
Last updated
02/15/2023
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