Individual
JOEL S BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1226 E WATER ST, SYRACUSE, NY 13210-1155
(315) 478-4185
(315) 478-0840
Mailing address
1411N FLAGLER DR 5300, WEST PALM BEACH, FL 33401-3415
(561) 833-5594
(561) 833-0017
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
181895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01184610
—
NY
Enumeration date
10/05/2005
Last updated
11/12/2015
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