Individual
MRS. BASMA SPEREGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1236 VETERANS HWY, HAUPPAUGE, NY 11788-3049
(631) 979-3547
Mailing address
153 GEERY AVE, HOLBROOK, NY 11741-1121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02278366
—
NY
01
—
042531
042531LICENCE NY
NY
Enumeration date
02/16/2008
Last updated
02/16/2008
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