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Individual

MR. EDGAR B BASSIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5875 S TRANSIT RD, LOCKPORT, NY 14094-6340
(716) 438-5510
(716) 438-5525
Mailing address
6101 ROBINSON ROAD, LOCKPORT, NY 14094
(716) 625-9851
(716) 625-9858

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
197593
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01555600
NY
Enumeration date
04/20/2006
Last updated
02/20/2015
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