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1043256480
JOHN BASAL
ALBANY, NY
NPI
1043256480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: NY 06871-1)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
-- JOHN BASAL Ph.D.
780 ALBANY SHAKER RD
ALBANY, NY 12211-1055
Phone number: 518-869-2231
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Mailing Address
-- JOHN BASAL Ph.D.
1 OLD COUNTRY RD SUITE 271
CARLE PLACE, NY 11514-1801
Phone number: 800-725-6280
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