Individual
JESSICA BASIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 FORSTER PL, MELVILLE, NY 11747-8129
(631) 902-4015
Mailing address
114 FORSTER PL, MELVILLE, NY 11747-8129
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
990981
NY
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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