Gabriel Basantes

NPI #1811530652 in Maspeth, New York

Provider Information

NPI Number: 1811530652
Entity Type: Individual
Name: Gabriel Basantes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Oct 24, 2019
Last Updated: Mar 16, 2023

Practice Location

Address: 6084 MOUNT OLIVET CRES
City: Maspeth
State: New York
ZIP Code: 11378-3451
Phone: (347) 693-3695

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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