Individual
ALEXANDRIA BASTIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1400 OLD COUNTRY RD STE C103N, WESTBURY, NY 11590-5156
(516) 806-6969
Mailing address
PO BOX 466, EAST ISLIP, NY 11730-0466
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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