Individual
DR. JAY ALAN BASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147-32 JAMAICA AVENUE, JAMAICA, NY 11435-4042
(718) 786-5000
Mailing address
825 W END AVE, NEW YORK, NY 10025-5349
(212) 932-3027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
160412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01103259
—
NY
01
—
10000024896
AFFINITY
NY
01
—
4353664
AETNA
NY
01
—
65N652
BLUE CROSS BLUE SHIELD
NY
01
—
9507194
GHI
NY
01
—
976020
UNITED HEALTHCARE
NY
Enumeration date
11/24/2006
Last updated
03/17/2018
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