| NPI | 1366644106 |
|---|---|
| Doing Business As | LEONID BASOVICH, DO, PC |
| Entity Type | Organization |
| Authorized Contact | LEONID BASOVICH President 516-884-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 235997) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: NY 235997) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 235997) | |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-06-04 |