Individual provider · NPI-1

Dr. Ross Basch, M.D.

Pathology, Clinical Pathology/Laboratory Medicine · New York, NY

NPI number1982976213
StatusActive
Last updated in NPPESFeb 2, 2012

Details

NPI
1982976213
Entity type
Individual (NPI-1)
Name
Dr. Ross Basch
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 2, 2012
Last updated
Feb 2, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine09481NYYes

Practice location

205 W End Ave
Apt. 19c
New York, NY 10023-4804

Phone 212-580-2083 · Fax 212-263-0496

Mailing address

205 W End Ave
Apt. 19c
New York, NY 10023-4804

Phone 212-580-2083 · Fax 212-263-0496

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