Individual provider · Type 1 NPI

Maryjo Bashant, PA

Surgical Physician Assistant · Schenectady, NY

NPI number 1609894732 Active

Practice location

1101 Nott St
Schenectady, NY 12308-2425

Mailing address

1462 Erie Blvd, Suite 2
Schenectady, NY 12305-1026

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X003083 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1609894732

Maryjo Bashant, PA's National Provider Identifier is 1609894732, issued on Jul 17, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Schenectady, NY. The record was last updated on Jul 8, 2007.