# KEYSTONE PODIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528947041
- **Authorized official:** NISON BASALILOV DPM (OWNER/PHYSICIAN)
- **Authorized official phone:** (347) 799-5989

## Contact information

- **Practice address:** 443 LINDEN BLVD, BROOKLYN, NY 11203-2821
- **Practice address phone:** (718) 719-7898
- **Practice address fax:** (718) 719-7898
- **Mailing address:** 10540 63RD AVE, FOREST HILLS, NY 11375-1337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2025
- **Last updated:** 07/01/2026