Individual
DR. GEORGE WILLIAM BASSO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
157 ROBBINS LN, SYOSSET, NY 11791-6003
(516) 837-8931
(516) 364-3224
Mailing address
157 ROBBINS LN, SYOSSET, NY 11791-6003
(516) 837-8931
(516) 364-3224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
016836-1
NY
103TS0200X
School Psychologist
Primary
016836-1
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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