Individual
MR. DANIEL BASALELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1990A LEXINGTON AVE, NEW YORK, NY 10035-2911
(516) 205-3099
Mailing address
1990A LEXINGTON AVE, NEW YORK, NY 10035-2911
(516) 205-3099
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006679
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2012
Last updated
01/21/2021
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