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Contact Information

CARMEN M BASSARAGH, ANP-C
421 DEER PARK AVE
BABYLON, NY11702-2313
 Phone: 631-941-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

364SA2200X 89 Certified Clinical Nurse Specialist
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for CARMEN M BASSARAGH · (Female)

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
  • NY License # 000575-1
  • NY License # F305792-
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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