Individual
ABBY MIRIAM BASALELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-3423
(718) 470-0887
Mailing address
420 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1121
(718) 470-3423
(718) 470-0887
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
278908
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2013
Last updated
03/24/2020
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