Individual
DIANA BASINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
664 STONELEIGH AVE STE 300, CARMEL, NY 10512-3990
(845) 278-8400
(845) 278-4326
Mailing address
664 STONELEIGH AVE STE 300, CARMEL, NY 10512-3990
(845) 278-8400
(845) 278-4326
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00012966
RAILROAD MEDICARE
NY
01
—
P00017544
RAILROAD MEDICARE
NY
Enumeration date
07/26/2006
Last updated
02/28/2008
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