Doctor Name: | TRACEY BASSETT |
NPI Number: | 1578680443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 35 Dock St Yonkers, NY - 107012733 |
Business Phone Number: | 9149661109 |
Business Fax Number: | 9149659705 |
Mailing Address: | 320 E 46th St Apt 12c, NEW YORK |
State: | NY |
Postal Code: | 100173045 |
Phone Number: | 5598162882 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |