Individual
JOSEPH PARKMAN BASILICE, D.D.S
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
131 MACDOUGAL ST, NEW YORK, NY 10012-1076
(631) 673-6723
Mailing address
34 LUCILLE LN, DIX HILLS, NY 11746-5810
(631) 673-6723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034844
NY
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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