Provider Demographics
NPI:1659462356
Name:BASSEL, JAMIE HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:HOWARD
Last Name:BASSEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 W 51ST ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-6910
Mailing Address - Country:US
Mailing Address - Phone:212-227-7310
Mailing Address - Fax:917-591-4477
Practice Address - Street 1:7 W 51ST ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-6910
Practice Address - Country:US
Practice Address - Phone:212-227-7310
Practice Address - Fax:917-591-4477
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009809111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU69083Medicare UPIN
NY04320Medicare ID - Type Unspecified