Dr. Roberta Basile, O.D.
Optometrist in Voorheesville, NY. Individual provider (NPI-1).
NPI number1114142007
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114142007
- Entity type
- Individual (NPI-1)
- Name
- Dr. Roberta Basile
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | T004645 | NY | Yes |
Practice location
65 E Claremont DrVoorheesville, NY 12186-9103
Phone 518-765-7986
Mailing address
65 E Claremont DrVoorheesville, NY 12186-9103
Phone 518-765-7986
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