Individual
ANNA I BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 NEW HAMPSHIRE AVE, TROY, NY 12180-1764
(518) 272-0331
(518) 271-9007
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
260145
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
218552
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
260145
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079402
—
MA
Enumeration date
09/19/2005
Last updated
02/09/2022
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