Individual
JHARNA BASAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
187 CAZENOVIA ST, BUFFALO, NY 14210-2450
(716) 823-3462
(716) 823-9397
Mailing address
187 CAZENOVIA ST, BUFFALO, NY 14210-2450
(716) 823-3462
(716) 823-9397
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
145614
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010200501
UNIVERA
NY
01
—
6490002
INDEPENDENT HEALTH ASSOC.
NY
Enumeration date
06/19/2006
Last updated
07/08/2007
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