Active NPIIndividual providerSole proprietor

Dr. Leo J Bastiaens, MD

Psychiatry & Neurology, Child & Adolescent Psychiatry in Brewster, New York

NPI Number1235127754
Practice location
1620 Route 22 Ste 203, Brewster, NY 10509-4052
Fax
844-454-5096
Last updated
April 6, 2022

Leo Jan Bastiaens is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Brewster, NY. Leo Jan Bastiaens practices in Brewster, NY and has the professional credentials of MD. The NPI Number for Leo Jan Bastiaens is 1235127754 and holds a License No. 171146 (NY). The current practice location address for Leo Jan Bastiaens is 1620 Route 22 Ste 203, Brewster, NY 10509-4052 and can be reached out via phone at 845-278-2500 and via fax at 844-454-5096.

Provider Profile Details

NPI Number
1235127754
Provider Name
Leo Jan Bastiaens
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1620 Route 22 Ste 203, Brewster, NY 10509-4052
Phone Number
845-278-2500
Fax Number
844-454-5096
Sole Proprietor
Yes
Provider Enumeration Date
October 10, 2005
Last Update Date
April 6, 2022
Certification Date
April 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1620 Route 22 Ste 203
Brewster, NY 10509-4052
Zip
10509-4052
Phone Number
845-278-2500
Fax Number
844-454-5096
Brewster, NY 10509Get directions →

Provider Business Mailing Address Details

Address
366 Heritage Hls Unit A
Somers, NY 10589-4048
City
Somers
State
NY
Zip
10589-4048
Phone Number
412-334-3393
Fax Number
844-454-5096

License Information

License Number
171146
License State
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Leo J Bastiaens, MD?

The NPI number of Dr. Leo J Bastiaens, MD is 1235127754. It was assigned on October 10, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Leo J Bastiaens, MD?

Dr. Leo J Bastiaens, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in NY under license number 171146.

Where does Dr. Leo J Bastiaens, MD practice?

The practice location is 1620 Route 22 Ste 203, Brewster, NY 10509-4052. The office can be reached at 845-278-2500 (phone) or 844-454-5096 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235127754 directly on the NPPES registry website.

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