Individual
CORRINE BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
Mailing address
49 BRISTOL AVE, STATEN ISLAND, NY 10301-4105
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
83104
NY
Other
Enumeration date
10/24/2020
Last updated
10/24/2020
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