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LEONID BASOVICH, DO, PC

Organization (NPI-2) Active

Family Medicine

Provider Information

NPI Number
1366644106
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
565 ROUTE 25A STE 101, MILLER PLACE, NY, 117642600
Phone
(631) 849-4551
Fax
(631) 849-4552

Specialties & Taxonomies

Neuromusculoskeletal Medicine & OMM License: NY #235997
Family Medicine, Geriatric Medicine License: NY #235997
Family Medicine Primary License: NY #235997

All Addresses

LOCATION

565 ROUTE 25A STE 101

MILLER PLACE, NY, 117642600

(631) 849-4551

MAILING

4232 SPRING LN

FAIR OAKS, CA, 956287089

(516) 884-2349