Individual
MADELEINE BASIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042-1102
(516) 465-5400
Mailing address
410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042-1102
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
308960
NY
Other
Enumeration date
03/21/2019
Last updated
11/25/2025
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