Yves M Bastien

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

256791 Issued in NY

Legal business name

YVES M BASTIEN

Practice address

79 Roeckel Ave
Valley Stream, NY 11580-3506

Phone

(347) 512-9765

NPI assigned

Sep 8, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yves Mairie Bastien

Title

Licensed Practical Nurse

Phone

(347) 512-9765

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1861860827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ROECKEL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ROECKEL AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803506",
            "telephone_number": "347-512-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVES M BASTIEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "YVES MAIRIE",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "347-512-9765"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "256791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Skilled Nursing Facility in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.