Dr Jairo Bastidas, DMD | |
111 E 210th St, Bronx, NY 10467-2401 | |
(718) 920-4167 | |
(718) 515-5419 |
Full Name | Dr Jairo Bastidas |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 37 Years |
Location | 111 E 210th St, Bronx, New York |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780763300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 041328 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Montefiore Medical Center | Bronx, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Montefiore Medical Center | 3779496021 | 2071 |
Entity Name | Montefiore Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275710519 PECOS PAC ID: 3779496021 Enrollment ID: O20121113000371 |
Mailing Address | Practice Location Address |
---|---|
Dr Jairo Bastidas, DMD 90 Palisade Ave, White Plains, NY 10607-2725 Ph: (718) 920-4167 | Dr Jairo Bastidas, DMD 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4167 |
Dr. Victoire Bogui, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1770 Grand Concourse, Bronx, NY 10457 Phone: 718-901-8110 Fax: 718-901-8121 | |
Dr. Amit Punj, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3450 Wayne Ave, Apt 13 H, Bronx, NY 10467 Phone: 918-850-1030 | |
Dr. Hadley S Bach, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1966 Newbold Ave, Suite 107, Bronx, NY 10472 Phone: 718-863-9733 | |
Khrystyna Leskiv, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1775 Grand Concourse, Bronx, NY 10453 Phone: 718-992-7669 | |
Dr. Klenise Paranhos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2386 Jerome Ave, Bronx, NY 10546 Phone: 718-220-1771 | |
David Tashman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4601 Henry Hudson Pkwy W, A-11, Bronx, NY 10471 Phone: 718-519-0500 | |
Dr. Mary Sayegh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321 |