LEO JAN BASTIAENS

BREWSTER, NY
NPI1235127754
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: NY  171146)
Enumeration Date2005-10-10
Last Update Date2022-04-06
Business Address
Dr. LEO JAN BASTIAENS M.D.
1620 ROUTE 22 STE 203
BREWSTER, NY 10509-4052
Phone number: 845-278-2500
Mailing Address
Dr. LEO JAN BASTIAENS M.D.
366 HERITAGE HLS UNIT A
SOMERS, NY 10589-4048
Phone number: 412-334-3393
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