Individual
MRS. CHRISTINE MARIE BASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2128 ELMWOOD AVE, BUFFALO, NY 14207-1910
(716) 874-5600
(716) 874-0388
Mailing address
63 CRANDON BLVD, CHEEKTOWAGA, NY 14225-3618
(716) 681-7953
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
082207-1
NY
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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