Individual
DR. DANIEL F. BASILICATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
192 WILLIAM RD, MASSAPEQUA, NY 11758-2226
(973) 919-2155
Mailing address
192 WILLIAM RD, MASSAPEQUA, NY 11758-2226
(973) 919-2155
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011546
NY
Other
Enumeration date
12/22/2006
Last updated
04/30/2020
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