MS. Michelle Ann Bastiao, MSED

NPI #1922361674 in Plainview, New York

Provider Information

NPI Number: 1922361674
Entity Type: Individual
Name: MS. Michelle Ann Bastiao, MSED
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MSED
Enumeration Date: Jun 18, 2012
Last Updated: Jun 18, 2012

Practice Location

Address: 2 W LANE DR
City: Plainview
State: New York
ZIP Code: 11803-5423
Phone: (516) 931-3447

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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