Individual
BASMATIE SALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
624 MCCLELLAN ST STE 101, SCHENECTADY, NY 12304
(518) 382-2260
(518) 347-5812
Mailing address
624 MCCLELLAN ST STE 101, SCHENECTADY, NY 12304-1020
(518) 382-2260
(518) 347-5812
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
343129
NY
363LF0000X
Family Nurse Practitioner
Primary
343129
NY
Other
Enumeration date
07/09/2018
Last updated
08/01/2018
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