Basa, Manola A
Basa, Manola A is an individual health care provider with primary practice located at 7603 Route 54 , Bath NY 14810-7930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Basa, Manola A can be contacted via phone (607) 776-4176.Contact Information
Primary practice address
7603 Route 54
Bath NY 14810-7930
Phone: (607) 776-4176
Fax: (607) 776-1783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 137012 | New York |
Profile Details
| NPI number | 1144222316 |
|---|---|
| LBN Legal business name | Basa, Manola A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jun 22nd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144222316 | NPPES |
| New York | MEDICAID | 00358943 |
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