Vesta Bascom, PA

Physician Assistant · NY, NY

Individual Active NPI

NPI number 1104944834

Practice location

Bellevue Hospital 550 First Ave
NY, NY 10016
Phone
(212) 562-2227

Open in Google Maps

NPI record

NPI
1104944834
Entity type
Individual (Type 1)
Enumeration date
March 27, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 010474 NY

Mailing address

842 E 49TH St
Brooklyn, NY 11203-5814
Phone
(347) 787-6496

About Vesta Bascom

Vesta Bascom, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is Bellevue Hospital 550 First Ave, NY, NY 10016. The NPI number 1104944834 was assigned on March 27, 2007 and the record was last updated on July 8, 2007.

Vesta Bascom lists a license in the registry: #010474 (NY) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Vesta Bascom, PA?

The NPI number is 1104944834.

What is the phone number of Vesta Bascom?

The phone number listed for the practice location is (212) 562-2227.

Where is Vesta Bascom located?

Bellevue Hospital 550 First Ave, NY, NY 10016.

What is the taxonomy code for Vesta Bascom?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in NY

All Physician Assistant providers in NY, NY →