Individual
KATHRYN BASELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 K ST NE, WASHINGTON, DC 20002-4216
(212) 263-5506
Mailing address
35 K ST NE, WASHINGTON, DC 20002-4216
(201) 638-5013
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
MD210002015
DC
2084P0800X
Psychiatry Physician
0101272424
VA
2084P0800X
Psychiatry Physician
Primary
295083
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
07/02/2022
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