Organization
YVES M BASTIEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVES MAIRIE BASTIEN (LICENSED PRACTICAL NURSE)
(347) 512-9765
Entity
Organization
Contact information
Practice address
79 ROECKEL AVE, VALLEY STREAM, NY 11580-3506
(347) 512-9765
Mailing address
79 ROECKEL AVE, VALLEY STREAM, NY 11580-3506
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
256791
NY
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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