Individual
AMY BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(401) 444-4000
Mailing address
550 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
262764
MA
207P00000X
Emergency Medicine Physician
Primary
MD15494
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2011
Last updated
03/16/2021
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