Individual
JULIE BASEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3938 EVE DR, SEAFORD, NY 11783-1553
(347) 561-8795
Mailing address
1410 YORK AVE APT 2J, NEW YORK, NY 10021-3468
(347) 561-8795
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
357662
NY
374J00000X
Doula
052024CJB27
NY
Other
Enumeration date
07/13/2024
Last updated
07/22/2024
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