| NPI | 1285905786 |
|---|---|
| Doing Business As | THE OFFICE OF MARINO BASELICE |
| Entity Type | Organization |
| Authorized Contact | DIANE M STAMAS Senior Credentialing Coordinator 518-782-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 134658) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |