DAVIDSON BASTIEN

Licensed Practical Nurse

NPI: 1073935359Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

313554(NY)

Contact & Hours

Address: 27 MONROE AVE
BRENTWOOD, NY 11717
Phone: (631) 839-3621

Quick Facts

NPI: 1073935359
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile