Individual
MAHA K BASSILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHAM, 3415 BAINBRIDGE AVE, 5TH FLOOR, BRONX, NY 10467
(718) 920-4646
Mailing address
1376 MIDLAND AVE, APT. 303, BRONXVILLE, NY 10708-6891
(718) 920-4646
(718) 944-7207
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
159933
NY
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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