NPI 1639752694 · live from the CMS NPI Registry
Kamlawattie Basdeo
Registered Nurse, General Practice in South Ozone Park, NY. National Provider Identifier 1639752694, active.
NPI record
| NPI | 1639752694 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 13054 116th St, South Ozone Park, NY 11420 |
| Practice phone | 718-738-8965 |
| Mailing address | 590 Avenue Of The Americas, New York, NY 10011 |
| Enumerated | April 28, 2021 |
| Last updated | April 28, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 467449-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.