Lookup NPI Numbers from the NPI Registry
NPI Profile for MARICON BAS in LOCUST VALLEY, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1083040075 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 09/23/2013 | |
| Last updated | 10/09/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARICON BAS
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MARICON BAS, NP