ANDREW BASTAUROSS

STATEN ISLAND, NY
NPI1356192496
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-28
Last Update Date2024-03-28
Business Address
ANDREW BASTAUROSS DPM
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-5912
Mailing Address
ANDREW BASTAUROSS DPM
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-5912