Individual
KATHLEEN BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2043 MILITARY RD, NIAGARA FALLS, NY 14304-1724
(716) 298-1777
(716) 298-1707
Mailing address
1707 LAKE RD, YOUNGSTOWN, NY 14174-9726
(716) 745-7104
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
228744
NY
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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