Individual
BASHA PITTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 AVENUE N APT E4, BROOKLYN, NY 11230-5931
(347) 463-8229
Mailing address
1411 AVENUE N APT E4, BROOKLYN, NY 11230-5931
(347) 463-8229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
818865141
NY
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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