Individual
DEBORAH KIM BASSETT
Active
Individual
DEBORAH KIM BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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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