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Individual

ELIZABETH ISSA BASCH

Active
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Individual

ELIZABETH ISSA BASCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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
Update your record

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