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Individual

DR. ROBERTA BASILE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
65 E CLAREMONT DR, VOORHEESVILLE, NY 12186-9103
(518) 765-7986
Mailing address
65 E CLAREMONT DR, VOORHEESVILLE, NY 12186-9103
(518) 765-7986

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004645
NY

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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