Individual
DR. DEBORAH ANNE BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 MASSACHUSETTS AVE, DEPAUL WING, TROY, NY 12180-1628
(518) 268-5890
(518) 268-5596
Mailing address
PO BOX 689, TROY, NY 12181-0689
(518) 268-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
168265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000406556008
BLUE SHIELD
NY
01
—
0005402789
AETNA
NY
05
—
01213390
—
NY
01
—
050202000029
FIDELIS
NY
01
—
10000117
CDPHP
NY
01
—
141655014
EMPIRE PLAN
NY
01
—
15289
MVP
NY
01
—
311991
WELLCARE
NY
01
—
6999952
GHI
NY
01
—
743C71
BLUE CROSS
NY
01
—
86303
GHIHMO
NY
Enumeration date
05/05/2006
Last updated
04/22/2008
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