Individual
ELIZABETH ISSA BASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 OLD COUNTRY ROAD, SUITE 1B, WESTBURY, NY 11590
(516) 333-7272
(516) 333-2519
Mailing address
530 OLD COUNTRY ROAD, SUITE 1B, WESTBURY, NY 11590
(516) 333-7272
(516) 333-2519
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
218536
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068154
GHI
—
01
—
02168647
MEDICAID
—
05
—
02168647
—
NY
01
—
0972912
CIGNA #30
—
01
—
1000021373
AFFINITY
—
01
—
12050374
MULITPLAN
—
01
—
122515
VYTRA
—
01
—
218536
HIP
—
01
—
218536A27
HEALTHFIRST
—
01
—
2239955
FIRST HEALTH
—
01
—
2485675
US HEALTHCARE HMO
—
01
—
3466941
UNTD HLTHCARE PIN 2033408
—
01
—
3C3877
HEALTHNET
—
01
—
553Z21
BCBS
—
01
—
7554188
US HEALTHCARE PPO
—
01
—
AA72155
MDNY
—
01
—
BE8536
ATLANTIS
—
01
—
P2128241
OXFORD
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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