Provider Demographics
NPI:1942234620
Name:BASKIN, HOWARD F (DPM)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:F
Last Name:BASKIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 MAIN ST N
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977
Mailing Address - Country:US
Mailing Address - Phone:845-352-0250
Mailing Address - Fax:845-352-1765
Practice Address - Street 1:263 MAIN ST N
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977
Practice Address - Country:US
Practice Address - Phone:845-352-0250
Practice Address - Fax:845-352-1765
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002350213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00418433Medicaid
NYP26101Medicare PIN
T50732Medicare UPIN