Individual
RUSLAN BASIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7605
Mailing address
535 NEPTUNE AVE APT 15A, BROOKLYN, NY 11224-4032
(646) 420-0095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
679024
NY
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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