Individual
BASIL A HORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 W 168TH ST, VC15-207, NEW YORK, NY 10032-3725
(212) 305-2155
(212) 927-9704
Mailing address
PO BOX 29211, NEW YORK, NY 10087-9211
(212) 305-2155
(212) 927-9704
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
003464
NY
207ZP0101X
Anatomic Pathology Physician
Primary
003464
NY
Other
Enumeration date
11/10/2009
Last updated
01/08/2016
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