Individual
BARBARA BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 BENEDICT AVE, APT 3A, TARRYTOWN, NY 10591-4939
(914) 882-1696
Mailing address
410 BENEDICT AVE, APT 3A, TARRYTOWN, NY 10591-4939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1209525
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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