Individual
DR. ALBERT BASSOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FAAP
Contact information
Practice address
2149 E 5TH ST, BROOKLYN, NY 11223-4038
(718) 376-4636
(718) 376-4636
Mailing address
2149 E 5TH ST, BROOKLYN, NY 11223-4038
(718) 376-4636
(718) 376-4636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
223690-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02255310
—
NY
Enumeration date
08/30/2006
Last updated
06/23/2008
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