1730511627 NPI number — MRS. PREETHI CYNTHIA BHASIN M.S.

Table of content: MRS. PREETHI CYNTHIA BHASIN M.S. (NPI 1730511627)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730511627 NPI number — MRS. PREETHI CYNTHIA BHASIN M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BHASIN
Provider First Name:
PREETHI
Provider Middle Name:
CYNTHIA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KUMAR
Provider Other First Name:
PREETHI
Provider Other Middle Name:
CYNTHIA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730511627
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 HILLSIDE AVE
Provider Second Line Business Mailing Address:
APT 2N
Provider Business Mailing Address City Name:
VALHALLA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10595-2148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-876-8121
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 HILLSIDE AVE
Provider Second Line Business Practice Location Address:
APT 2N
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595-2148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-876-8121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2013

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: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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