Individual
MRS. MICHELE T. BASAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
775 LANCASTER ST, ALBANY, NY 12203-1505
(518) 453-2515
(518) 453-2519
Mailing address
775 LANCASTER ST, ALBANY, NY 12203-1505
(518) 453-2515
(518) 453-2519
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
279301-1
NY
163WS0200X
School Registered Nurse
2793011
NY
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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