Individual
DR. MONETTE G BASSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6216 BROADWAY, WOODSIDE, NY 11377-2154
(718) 335-5151
(718) 335-5219
Mailing address
19 E 80TH ST, APT. 10D, NEW YORK, NY 10021-0117
(212) 249-5230
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
103294
NY
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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