Individual
DR. ANTHONY VINCENT BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
6789 E GENESEE ST, FAYETTEVILLE, NY 13066-1640
(315) 446-4660
Mailing address
408 HILLSDALE AVE, SYRACUSE, NY 13206-2906
(315) 882-4184
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069265
NY
Other
Enumeration date
08/13/2022
Last updated
08/13/2022
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