Individual
DR. JOSEPH BASELIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
83A GRAND AVE, MASSEPEQUA, NY 11758-0170
(516) 798-4348
(516) 798-1357
Mailing address
PO BOX 170, MASSEPEQUA, NY 11758-0170
(516) 798-4348
(516) 798-1357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226684
NY
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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