Individual
DR. BELINDA BASACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
86 FOREST AVE., 2ND FLOOR SUITE D, GLEN COVE, NY 11542
(516) 759-0900
(519) 759-0195
Mailing address
86 FOREST AVE. 2ND FLOOR, SUITE D, GLEN COVE, NY 11542
(516) 759-0900
(519) 759-0195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BB8479835
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02585748
ATLANTIS
NY
05
—
02585748
—
NY
Enumeration date
08/30/2006
Last updated
07/08/2007
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