Individual
BASENT BAIOUMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1023 NEW YORK AVE, BROOKLYN, NY 11203-3806
(718) 462-5298
Mailing address
472 LINCOLN AVE, STATEN ISLAND, NY 10306-5441
(917) 513-5552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
021662
NY
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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