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Dr. Leo Jan Bastiaens, MD
Child & Adolescent Psychiatry Physician in Brewster, New York
NPI 1235127754

Leo Jan Bastiaens is a Child & Adolescent Psychiatry Physician based in Somers, NY and is specialized in Child & Adolescent Psychiatry. 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 (New York).

The current practice location address for Leo Jan Bastiaens is 1620 Route 22 Ste 203, Brewster, NY and can be reached out via phone at 845-278-2500 and via fax at 844-454-5096.

Location: 1620 Route 22 Ste 203, Brewster, NY, 10589-4048
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 10589-4048
Phone Number
845-278-2500
Fax Number
844-454-5096
Provider Enumeration Date
10/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06049783 05 NY
institution
Provider Business Practice Location Address Details
Address
1620 Route 22 Ste 203
City
Brewster
State
New York
Zip
10509-4052
Phone Number
845-278-2500
Fax Number
844-454-5096
person
Provider Business Mailing Address Details
Address
1620 Route 22 Ste 203
City
Brewster
State
New York
Zip
10509-4052
Phone Number
845-278-2500
Fax Number
844-454-5096
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
171146 (New York)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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