Dr Mwaffak Bashir, MD | |
101 Waterside Professional Park, Putnam Valley, NY 10579-3502 | |
(914) 528-7337 | |
Not Available |
Full Name | Dr Mwaffak Bashir |
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Gender | Male |
Speciality | Pediatrics |
Location | 101 Waterside Professional Park, Putnam Valley, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154965622 | NPI | - | NPPES |
2224526 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD61266703 (Washington) | Secondary |
208000000X | Pediatrics | 282308 (New York) | Primary |
Entity Name | Grant County Public Hospital District 1 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619086766 PECOS PAC ID: 9931095692 Enrollment ID: O20040227000602 |
Entity Name | Yakima Valley Memorial Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714 |
Mailing Address | Practice Location Address |
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Dr Mwaffak Bashir, MD 101 Waterside Professional Park, Putnam Valley, NY 10579-3502 Ph: () - | Dr Mwaffak Bashir, MD 101 Waterside Professional Park, Putnam Valley, NY 10579-3502 Ph: (914) 528-7337 |
A Ndrea Zuckerman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 90 W Shore Dr, Putnam Valley, NY 10579 Phone: 914-672-2806 | |
Yevgeniya Shurp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4 Morrisey Drive, Putnam Valley, NY 10579 Phone: 845-528-5222 Fax: 845-528-8589 |