Individual
ROBIN BASALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TVI
Contact information
Practice address
402 PACIFIC ST, APT 4, BROOKLYN, NY 11217-2290
(415) 378-5525
Mailing address
402 PACIFIC ST, APT 4, BROOKLYN, NY 11217-2290
(415) 378-5525
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1858685
NY
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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