Individual
BASILE TESSIER CLOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2810 JACKSON AVE APT 40M, LONG ISLAND CITY, NY 11101-3181
(212) 639-5421
Mailing address
2810 JACKSON AVE APT 40M, LONG ISLAND CITY, NY 11101-3181
(212) 639-5421
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
309700
NY
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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