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Organization

BASTIEN MEDICAL, PLLC

Active
Other names
Ageless Perfection Medspa
Organization subpart
No

Provider details

NPI number
Authorized official
PEGGY BASTIEN (OWNER)
(516) 476-8353
Entity
Organization

Contact information

Practice address
320 DEPOT LN, CUTCHOGUE, NY 11935-1274
(631) 655-8920
Mailing address
347 5TH AVE RM 1402, NEW YORK, NY 10016-5034
(516) 476-8353

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary

Other

Enumeration date
04/18/2023
Last updated
11/18/2025
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