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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
240998 | NY | Allopathic & Osteopathic Physicians |
Street Address |
121 DEKALB AVE # 9E |
City | BROOKLYN |
State | NY |
Zip Code | 11201-5425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
Find all providers in zip 11201 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467491423 | Rajendra Damodar Bhayani | Otolaryngology | 1783 W 6th St, Brooklyn, NY 11223-1321 | 2006-06-05 |
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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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.