Mrs Lyanne Stephanie Wonsang-basurto, - Registered Nurse in College Point, NY

Mrs Lyanne Stephanie Wonsang-basurto, is a Registered Nurse - Nurse Massage Therapist (nmt) based in College Point, New York. Mrs Lyanne Stephanie Wonsang-basurto is licensed to practice in New York (license number 773539) and her current practice location is 2247 128th St Fl 2, College Point, New York. She can be reached at her office (for appointments etc.) via phone at (347) 617-5695.

NPI number for Mrs Lyanne Stephanie Wonsang-basurto is 1164303830 and her current mailing address is 2247 128th St Fl 2, College Point, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164303830.

Contact Information

Mrs Lyanne Stephanie Wonsang-basurto,
2247 128th St Fl 2,
College Point, NY 11356-2721
(347) 617-5695
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lyanne Stephanie Wonsang-basurto
GenderFemale
SpecialityRegistered Nurse - Nurse Massage Therapist (nmt)
Location2247 128th St Fl 2, College Point, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164303830
  • Provider Enumeration Date: 09/10/2025
  • Last Update Date: 09/10/2025

Medical Identifiers

Medical identifiers for Mrs Lyanne Stephanie Wonsang-basurto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164303830NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM1400XRegistered Nurse - Nurse Massage Therapist (nmt) 773539 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lyanne Stephanie Wonsang-basurto is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lyanne Stephanie Wonsang-basurto,
2247 128th St Fl 2,
College Point, NY 11356-2721

Ph: () -
Mrs Lyanne Stephanie Wonsang-basurto,
2247 128th St Fl 2,
College Point, NY 11356-2721

Ph: (347) 617-5695

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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