GINA M BASELLO

RICHMOND HILL, NY
NPI1144282757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  222962)
Enumeration Date2006-04-06
Last Update Date2013-01-17
Business Address
-- GINA M BASELLO DO
133-03 JAMAICA AVENUE
RICHMOND HILL, NY 11418
Phone number: 718-657-7093
Mailing Address
-- GINA M BASELLO DO
80 MARCUS DR PROVIDER ENROLLMENT
MELVILLE, NY 11747-4230
Phone number: 631-391-7887
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