Search › New York › 164W00000X

Laurajean Basile

NPI 1578642286 · on the registry since 2006 · sole proprietor

Practice

Address
5 Continental Dr
Port Jefferson Station, NY 11776
Phone
(631) 828-6021

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-09

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