Individual
ANKUR BASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 ETHERINGTON CRES, CHURCHVILLE, NY 14428-9653
(585) 474-8515
Mailing address
31 ETHERINGTON CRES, CHURCHVILLE, NY 14428-9653
(585) 474-8515
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
708214
NY
363LF0000X
Family Nurse Practitioner
Primary
348078
NY
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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