Basilice, Vincent P

Basilice, Vincent P is an sole proprietor health care provider with primary practice located at 3400 Nesconset Hwy Suite 107, East Setauket NY 11733-3327. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Basilice, Vincent P can be contacted via phone (631) 751-2020.

Contact Information

Primary practice address
3400 Nesconset Hwy Suite 107 East Setauket NY 11733-3327
Phone: (631) 751-2020
Fax: (631) 751-0048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 127126-1 New York

Profile Details

NPI number 1396868527
LBN Legal business name Basilice, Vincent P
Credentials M.D.,P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2007
Last updated Oct 7th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396868527 NPPES
New York MEDICAID 00417469
New York Other 1679588164

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