Bassaragh, Carmen Millicent

Bassaragh, Carmen Millicent is an sole proprietor health care provider with primary practice located at 421 Deer Park Ave , Babylon NY 11702-2313. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Dietary & Nutritional Service Providers / Dietitian, Registered. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bassaragh, Carmen Millicent can be contacted via phone (631) 941-1000.

Contact Information

Primary practice address
421 Deer Park Ave Babylon NY 11702-2313
Phone: (631) 941-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X F305792- New York
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 000575-1 New York

Profile Details

NPI number 1679833784
LBN Legal business name Bassaragh, Carmen Millicent
Credentials ANP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2012
Last updated Feb 28th, 2017 - about 9 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.

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