Individual
MR. MARK EVERETT BASHFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(917) 670-9986
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
(917) 670-9986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
540595
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
540595
LICENSE
NY
Enumeration date
11/17/2011
Last updated
03/25/2025
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