DR. SHARI DIANE REITZEN-BASTIDAS


Address: 121 Dekalb Ave # 9e, Brooklyn, NY 11201-5425
Phone: 7182508520

DR. SHARI DIANE REITZEN-BASTIDAS (NPI# 1225173370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225173370
Entity Type Individual
Full Name DR. SHARI DIANE REITZEN-BASTIDAS
Credential M.D.
Practice Address 121 Dekalb Ave # 9e
Brooklyn
NY 11201-5425
Practice Telephone 7182508520
Practice Fax Number 7182506327
Mailing Telephone 7182508520
Mailing Fax Number 7182506327
Enumeration Date 2007-02-20
Last Update Date 2010-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
240998 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 121 DEKALB AVE # 9E
City BROOKLYN
State NY
Zip Code 11201-5425

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Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467491423 Rajendra Damodar Bhayani Otolaryngology 1783 W 6th St, Brooklyn, NY 11223-1321 2006-06-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427311430 Gary Linkov Otolaryngology 635 Madison Ave # 1402e, New York, NY 10022-1009 2012-06-25
1205196961 Daniela Maria Burchhardt Otolaryngology 89-06 Van Wyck Expy Suite 2t, Jamaica, NY 11418 2012-05-29
1710276753 Moustafa W. Mourad Otolaryngology 115 E 61st St Ste 7c, New York, NY 10065 2011-03-30
1144528050 Jerrold Conrad Gendler Otolaryngology 560 Norhern Blvd, 190, Great Neck, NY 11021 2011-03-02
1447485529 Paul D. Gittelman,m.d. F.a.c.s. P.l.l.c. Otolaryngology 1600 Harrison Ave Ste G-104, Mamaroneck, NY 10543 2009-05-19
1083850044 Richard W Westreich Md Pllc Otolaryngology 4 E 88th St Ste 1b, New York, NY 10128 2008-12-22
1780845545 Lesley Rabach Otolaryngology 33 5th Ave Apt 1b, Lm Medical Nyc, New York, NY 10003-4377 2008-06-24
1033377213 Joseph J Rousso Otolaryngology 440 Northern Blvd, Great Neck, NY 11021-4813 2008-05-24
1528243680 Stuart Arnold Otolaryngology 194 Heron Ln, Manhasset, NY 11030-4012 2008-01-08
1386703338 Michelle Robin Yagoda Otolaryngology 5 E 83rd St, New York, NY 10028-0401 2006-12-06
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City BROOKLYN
Zip Code 11201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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