Provider Demographics
NPI:1891321618
Name:FRANCESCA C. BASLOW, INC
Entity Type:Organization
Organization Name:FRANCESCA C. BASLOW, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCESCA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BASLOW
Authorized Official - Suffix:
Authorized Official - Credentials:INC
Authorized Official - Phone:917-647-7126
Mailing Address - Street 1:56 DEMAREST AVENUE
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994
Mailing Address - Country:US
Mailing Address - Phone:917-647-7126
Mailing Address - Fax:
Practice Address - Street 1:80 UNIVERSITY PLACE
Practice Address - Street 2:SUITE #2I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:917-647-7126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty