Basello, Gina M
Basello, Gina M is an individual health care provider with primary practice located at 133-03 Jamaica Avenue , Richmond Hill NY 11418. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Basello, Gina M can be contacted via phone (718) 657-7093.Contact Information
Primary practice address
133-03 Jamaica Avenue
Richmond Hill NY 11418
Phone: (718) 657-7093
Fax: (718) 558-5314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 222962 | New York |
Profile Details
| NPI number | 1144282757 |
|---|---|
| LBN Legal business name | Basello, Gina M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jan 17th, 2013 - about 12 years ago |
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 | 1144282757 | NPPES |
| New York | MEDICAID | 02312554 |
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