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1457053043
JACOB BASALELI
MANHASSET, NY
NPI
1457053043
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
JACOB BASALELI DO
300 COMMUNITY DR
MANHASSET, NY 11030-3816
Phone number: 718-470-7837
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Mailing Address
JACOB BASALELI DO
40 NORTH DR
GREAT NECK, NY 11021-1332
Phone number: 917-805-1865
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