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Organization

TONUCA BASU PHYSICIAN P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TONUA BASU M.D. (PRESIDENT)
(718) 386-7000
Entity
Organization

Contact information

Practice address
6044 MYRTLE AVE, RIDGEWOOD, NY 11385-5907
(718) 386-7000
(718) 456-7585
Mailing address
6044 MYRTLE AVE, RIDGEWOOD, NY 11385-5907
(718) 386-7000
(718) 456-7585

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
06/28/2013
Last updated
06/28/2013
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