1235221300 NPI number — LAWRENCE BASKIND MD

Table of content: LAWRENCE BASKIND MD (NPI 1235221300)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235221300 NPI number — LAWRENCE BASKIND MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BASKIND
Provider First Name:
LAWRENCE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235221300
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/09/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 DAYTON LANE, SUITE 202
Provider Second Line Business Mailing Address:
THE WESTCHESTER MEDICAL PRACTICE PC
Provider Business Mailing Address City Name:
PEEKSKILL
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10566
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-739-0087
Provider Business Mailing Address Fax Number:
914-737-1714

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 S RIVERSIDE AVE
Provider Second Line Business Practice Location Address:
THE WESTCHESTER MEDICAL PRACTICE PC
Provider Business Practice Location Address City Name:
CROTON ON HUDSON
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10520-2653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-271-2424
Provider Business Practice Location Address Fax Number:
914-271-2551
Provider Enumeration Date:
09/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  169875 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 133621410 . This is a "EMPIRE UNITED" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 906720 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 52F751 . This is a "BLUE CROSS BLUE SHILD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: WP323 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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