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Individual

BENJAMIN BASHIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1111 AMSTERDAM AVE, NEW YORK, NY 10025-1716
(201) 830-3122
Mailing address
1 GUSTAVE L. LEVY PLACE, BOX 1194, NEW YORK, NY 10029-6574
(212) 241-8395
(212) 289-0092

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
128175
NY
2085R0205X
Radiological Physics Physician
128175
NY

Other

Enumeration date
07/03/2006
Last updated
09/22/2016
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