Provider Demographics
NPI:1992215594
Name:BASTONE, FRANK ANTHONY III (ATS)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ANTHONY
Last Name:BASTONE
Suffix:III
Gender:M
Credentials:ATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-1881
Mailing Address - Country:US
Mailing Address - Phone:845-337-5184
Mailing Address - Fax:
Practice Address - Street 1:20 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-1881
Practice Address - Country:US
Practice Address - Phone:845-337-5184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer