Bascom, Trina Binta
Bascom, Trina Binta is an sole proprietor health care provider with primary practice located at 11207 Rockaway Blvd , South Ozone Park NY 11420-1031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bascom, Trina Binta can be contacted via phone (917) 361-4502.Contact Information
Primary practice address
11207 Rockaway Blvd
South Ozone Park NY 11420-1031
Phone: (917) 361-4502
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 402773 | New York |
Profile Details
| NPI number | 1659842078 |
|---|---|
| LBN Legal business name | Bascom, Trina Binta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 11th, 2018 |
| Last updated | Jun 27th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659842078 | NPPES |
| New York | MEDICAID | 610850 |
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