CARLOS M BASTIDAS RN-BSN
NPI 1043616972
Registered Nurse - Emergency in Rego Park, NY
Active since November 04, 2014
About Carlos M Bastidas Rn-bsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS M BASTIDAS RN-BSN (NPI 1043616972) is an individual emergency provider in Rego Park, New York, licensed in New York (561861) and active in the NPI registry since November 2014.
NPPES Registry Identity
NPI1043616972
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameCARLOS M BASTIDASCredential: RN-BSN
Location Address6360 98TH ST, APARTMENT B-17Rego Park, NY 11374-2238
Mailing Address6360 98th St, Apartment B-17Rego Park, NY 11374-2238 · (917) 705-9578
Phone(917) 705-9578
Sole ProprietorYes
Enumeration DateNovember 4, 2014
✔ NPI 1043616972 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in NY · 561861
6360 98TH ST, Rego Park, NY 11374
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043616972, enumerated as an "individual" on November 04, 2014.
The provider is located at 6360 98TH ST APARTMENT B-17 REGO PARK, NY 11374 and the phone number is (917) 705-9578.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.