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Individual

MS. ANITA BASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
90 AMPERE PKWY, EAST ORANGE, NJ 07017-5429

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310199
NY

Other

Enumeration date
11/14/2021
Last updated
11/14/2021
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