Individual provider · Type 1 NPI
Leo Jan Bastiaens, MD
Child & Adolescent Psychiatry Physician · Brewster, NY
NPI number
1235127754
Active
Practice location
1620 Route 22 Ste 203
Brewster, NY 10509-4052
Fax (844) 454-5096
Mailing address
366 Heritage Hls Unit A
Somers, NY 10589-4048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 171146 (NY) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Other child & adolescent psychiatry physician providers in Brewster
About NPI 1235127754
Leo Jan Bastiaens, MD's National Provider Identifier is 1235127754, issued on Oct 10, 2005. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Brewster, NY. The record was last updated on Apr 6, 2022.