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Gabriel Basantes
NPI 1811530652 · on the registry since 2019 · sole proprietor
Practice
- Address
- 6084 Mount Olivet Cres
Maspeth, NY 11378 - Phone
- (347) 693-3695
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- NY, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York