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Individual

DR. JOSEPH BASILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9000
Mailing address
57 MONARCH CT, STATEN ISLAND, NY 10314-4951
(646) 296-2794

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
266684
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03919046
NY
Enumeration date
06/28/2010
Last updated
01/15/2015
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