Individual
DR. MARCEL A BAS AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
217 E MAIN ST, BAY SHORE, NY 11706-8407
(631) 647-3800
Mailing address
217 E MAIN ST, BAY SHORE, NY 11706-8407
(631) 647-3800
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
315772
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2016
Last updated
10/24/2022
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