Organization
BASITH MEDICAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED A BASITH MD (OWNER)
(718) 877-7407
Entity
Organization
Contact information
Practice address
9747 77TH ST, OZONE PARK, NY 11416-1943
(718) 307-5796
Mailing address
17033 83RD AVE, JAMAICA, NY 11432-2101
(718) 877-7407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
258439
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03269261
—
NY
Enumeration date
06/11/2018
Last updated
06/11/2018
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