Provider Demographics
NPI:1346768827
Name:BASABE, CORINNE HELENA
Entity Type:Individual
Prefix:MRS
First Name:CORINNE
Middle Name:HELENA
Last Name:BASABE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 CRUGER AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-1636
Mailing Address - Country:US
Mailing Address - Phone:516-902-5640
Mailing Address - Fax:212-695-4561
Practice Address - Street 1:CHDFS
Practice Address - Street 2:307 WEST 38TH STREET 6TH FL.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018
Practice Address - Country:US
Practice Address - Phone:516-902-5640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty