Vesta Bascom, PA

NPI #1104944834 in NY, New York

Provider Information

NPI Number: 1104944834
Entity Type: Individual
Name: Vesta Bascom, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Mar 27, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: BELLEVUE HOSPITAL 550 FIRST AVE
City: NY
State: New York
ZIP Code: 10016
Phone: (212) 562-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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