SearchNew York163W00000X

Lyanne Wonsang-Basurto

NPI 1164303830 · on the registry since 2025 · sole proprietor

Practice

Address
2247 128th St Fl 2
College Point, NY 11356
Phone
(347) 617-5695

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163W00000X
Licence states on file
NY, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York