Individual
MEGHAN ROSE BRUNSWICK-BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
40 MITCHELL AVE, #3, BINGHAMTON, NY 13903
(607) 772-0639
Mailing address
40 MITCHELL AVE, #3, BINGHAMTON, NY 13903
(607) 772-0639
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
300991
NY
208000000X
Pediatrics Physician
MDO.39240 LL
SC
2080P0206X
Pediatric Gastroenterology Physician
Primary
300991
NY
Other
Enumeration date
05/31/2016
Last updated
11/12/2025
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