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Contact Information

DENISE W BASSIN, PhD
1000 WAVE AVE
MEDFORD, NY11763-1772
 Phone: 631-687-8162
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DENISE W BASSIN · (Female)

NPI # 1497954721
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/17/2007
Last updated 04/03/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 013402
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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