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Organization
RONALD G. BASALYGA, M.D. PC
Active
Organization
RONALD G. BASALYGA, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD G. BASALYGA (PRESIDENT)
(716) 649-5188
Entity
Organization
Contact information
Practice address
4711 PINECREST TER, EDEN, NY 14057-9757
(716) 649-5188
(716) 649-5188
Mailing address
4711 PINECREST TER, EDEN, NY 14057-9757
(716) 649-5188
(716) 649-5188
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
095710
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010011502
HMO
NY
05
—
00591846
—
NY
01
—
1225240609
MD NPI #
NY
01
—
2308442
HMO
NY
01
—
AA1447
PC MEDICARE ID #
NY
01
—
DD3550
MD-MEDICARE ID #
NY
Enumeration date
07/30/2007
Last updated
07/30/2007
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