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1245202555
JAY B. BASILLOTE
STATEN ISLAND, NY
NPI
1245202555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NY 214885)
Enumeration Date
2006-02-02
Last Update Date
2015-07-22
Business Address
DR. JAY B. BASILLOTE M.D.
2071 CLOVE RD SUITE J
STATEN ISLAND, NY 10304-1612
Phone number: 347-774-8386
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Mailing Address
DR. JAY B. BASILLOTE M.D.
2071 CLOVE RD SUITE J
STATEN ISLAND, NY 10304-1612
Phone number: 347-774-8386
Copy
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