EMILY C BASTIAANSE

GUTHRIE MEDICAL GROUP PC

Dr EMILY C BASTIAANSE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

Contact

GUTHRIE MEDICAL GROUP PC

2517 VESTAL PKWY E
VESTAL
NY
138502088

Tel: 6077981452

EMILY C BASTIAANSE Information

Npi 1285003376
Pac Id 2567763931
Professional Enrollment Id I20151209002247
Last Name BASTIAANSE
First Name EMILY
Middle Name C
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GUTHRIE MEDICAL GROUP PC
Group Practice Pac Id 6002728656
Number Of Group Practice Members 536
Line 1 Street Address 2517 VESTAL PKWY E
Line 2 Street Address
Marker Of Address Line 2 Suppression
City VESTAL
State NY
Zip Code 138502088
Phone Number 6077981452
Hospital Affiliation Ccn 1 330011
Hospital Affiliation Lbn 1 LOURDES HOSPITAL
Hospital Affiliation Ccn 2 390079
Hospital Affiliation Lbn 2 ROBERT PACKER HOSPITAL
Hospital Affiliation Ccn 3 330394
Hospital Affiliation Lbn 3 UNITED HEALTH SERVICES HOSPITALS, INC
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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