NPI Profile for CARMEN M BASSARAGH in BABYLON, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Health |
364SA2200X | 89 | Certified Clinical Nurse Specialist | |
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional |
| NPI # | 1679833784 |
|
| Status | Active | |
| Credentials | ANP-C | |
| Entity | Individual | |
| Enumeration date | 05/22/2012 | |
| Last updated | 02/28/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CARMEN M BASSARAGH
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