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Maryellen Basile
NPI 1548919756 · on the registry since 2022
Practice
- Address
- 6143 Fresh Meadow Ln
Fresh Meadows, NY 11365 - Phone
- (646) 270-1072
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York