JACLYN BASSO

HAWTHORNE, NY
NPI1912396219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  382226)
Enumeration Date2015-01-10
Last Update Date2015-07-29
Business Address
-- JACLYN BASSO MS, RN, CPNP
19 BRADHURST AVE SUITE 1400
HAWTHORNE, NY 10532-2140
Phone number: 914-493-7997
Mailing Address
-- JACLYN BASSO MS, RN, CPNP
PO BOX 1020
HAWTHORNE, NY 10532-7507
Phone number: 888-633-0033