Jesse Basson

NPI #1366226912 in Woodside, New York

Provider Information

NPI Number: 1366226912
Entity Type: Individual
Name: Jesse Basson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: Aug 23, 2023
Last Updated: Aug 23, 2023

Practice Location

Address: 4131 51ST ST APT 6J
City: Woodside
State: New York
ZIP Code: 11377-4448
Phone: (914) 482-5026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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