Spencer Bastedo, LMSW

NPI 1487452520 · on the registry since 2025 · sole proprietor

Practice

Address: 3704 91st St Ste E
Jackson Heights, NY 11372
Phone: (917) 755-5619
Organisation at this address: October Medical Pc
Ramon Vallarino Md Pc
Ramon Vallarino Jr Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-08-22

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