Organization · Type 2 NPI

M,bastawros,physician,p.c.

Exclusive Provider Organization · Staten Island, NY

NPI number 1720495328 Active

Practice location

314 Seaview Ave
Staten Island, NY 10305-2246

Call (718) 668-3417 Map

Fax (718) 668-3420

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000X126414 (NY)

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

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About NPI 1720495328

M,bastawros,physician,p.c.'s National Provider Identifier is 1720495328, issued on Jul 15, 2014. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 15, 2014.