Dr. Joseph Baselious, MD
Family Medicine in Massepequa, NY. Individual provider (NPI-1).
NPI number1982777082
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1982777082
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joseph Baselious
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 226684 | NY | Yes |
Practice location
83a Grand AveMassepequa, NY 11758-0170
Phone 516-798-4348 · Fax 516-798-1357
Mailing address
Po Box 170Massepequa, NY 11758-0170
Phone 516-798-4348 · Fax 516-798-1357
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