Individual
DR. ELLEN M BASU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1275 YORK AVE # 139, MSKCC, DEPT OF PEDIATRICS, NEW YORK, NY 10065-6007
(212) 639-5945
(212) 717-3447
Mailing address
1275 YORK AVE # 139, MSKCC, DEPT OF PEDIATRICS, NEW YORK, NY 10065-6007
(212) 639-5945
(212) 717-3447
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
241049
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
257833
NY
Other
Enumeration date
05/24/2007
Last updated
08/02/2010
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