Individual
DR. DENISE WENDY BASSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1000 WAVE AVE, MEDFORD, NY 11763-1772
(631) 687-8162
Mailing address
1000 WAVE AVE, MEDFORD, NY 11763-1772
(631) 687-8162
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
013402
NY
Other
Enumeration date
07/17/2007
Last updated
04/03/2012
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