Gabriel Basantes

Physician Assistant · Maspeth, NY

Individual Active NPI

NPI number 1811530652

Practice location

6084 Mount Olivet Cres
Maspeth, NY 11378-3451
Phone
(347) 693-3695

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NPI record

NPI
1811530652
Entity type
Individual (Type 1)
Enumeration date
October 24, 2019
Last updated
March 16, 2023
Certified
March 16, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 027079 NY
Student in an Organized Health Care Education/Training Program 390200000X — —

About Gabriel Basantes

Gabriel Basantes is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 6084 Mount Olivet Cres, Maspeth, NY 11378-3451. The NPI number 1811530652 was assigned on October 24, 2019 and the record was last updated on March 16, 2023.

Gabriel Basantes lists a license in the registry: #027079 (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 Gabriel Basantes?

The NPI number is 1811530652.

What is the phone number of Gabriel Basantes?

The phone number listed for the practice location is (347) 693-3695.

Where is Gabriel Basantes located?

6084 Mount Olivet Cres, Maspeth, NY 11378-3451.

What is the taxonomy code for Gabriel Basantes?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

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.

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