BORIS BASANILOV

EAST MEADOW, NY
NPI1356581003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  63 014098)
Enumeration Date2009-02-20
Last Update Date2009-02-20
Business Address
-- BORIS BASANILOV OT
2201 HEMPSTEAD TURNPIKE NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Phone number: 516-572-6131
Mailing Address
-- BORIS BASANILOV OT
2201 HEMPSTEAD TURNPIKE NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Phone number: 516-572-6131
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