Individual
DR. BASILISA HAYDEE CANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10933 71ST RD STE 1E, FOREST HILLS, NY 11375-4813
(718) 268-2772
(718) 268-2772
Mailing address
4 CHURCH ST, ROSLYN, NY 11576-1131
(718) 268-2772
(718) 268-2772
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
218636
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01589940
—
NY
Enumeration date
09/23/2006
Last updated
05/30/2008
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