Individual provider · Type 1 NPI

Joselyn Lucia Proano Bastidas, MD

Student in an Organized Health Care Education/Training Program · Pittsfield, MA

NPI number 1659063303 Active

Practice location

725 North Street
Pittsfield, MA 01201

Mailing address

9116 113th Street
Richmond Hill, NY 11418

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1659063303

Joselyn Lucia Proano Bastidas, MD's National Provider Identifier is 1659063303, issued on May 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pittsfield, MA. The record was last updated on Feb 7, 2024.