IndividualActive
Shari Reitzen-Bastidas, M.D.
NPI 1225173370 · Facial Plastic Surgery Physician · New York, NY
Provider details
- NPI number
- 1225173370
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 240998 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
715 Park Ave Ste 2
New York, NY 10021-5047
Phone: (347) 557-8368
Fax: (646) 304-1278
Approximate (ZIP-level) locationGet directions
Mailing address
715 Park Ave Ste 2
New York, NY 10021-5047
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2022-11-02
- Certified
- 2022-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.