Individual
DR. BASILIDES EMMANUEL FERMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7272
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12152100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/07/2018
Last updated
04/10/2024
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