TRINA BINTA BASCOM

SOUTH OZONE PARK, NY
NPI1659842078
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  402773)
Enumeration Date2018-12-11
Last Update Date2022-06-27
Business Address
Ms. TRINA BINTA BASCOM
11207 ROCKAWAY BLVD
SOUTH OZONE PARK, NY 11420-1031
Phone number: 917-361-4502
Mailing Address
Ms. TRINA BINTA BASCOM
11207 ROCKAWAY BLVD
SOUTH OZONE PARK, NY 11420-1031
Phone number:
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