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Robert Basedow

Social Worker in Patchogue, NY. Individual provider (NPI-1).

NPI number1023907987
StatusActive
Last updated in NPPESJul 2, 2025

Details

NPI
1023907987
Entity type
Individual (NPI-1)
Name
Robert Basedow
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 2, 2025
Certification date
Jul 2, 2025
Last updated
Jul 2, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

475 E Main St
Patchogue, NY 11772-3121

Phone 631-286-8282

Mailing address

475 E Main St
Patchogue, NY 11772-3121

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