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1598210122
JONATHAN BASILE
NEW HYDE PARK, NY
NPI
1598210122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040366)
Enumeration Date
2016-08-24
Last Update Date
2016-08-24
Business Address
-- JONATHAN BASILE D.P.T.
27003 HILLSIDE AVE
NEW HYDE PARK, NY 11040-2517
Phone number: 718-831-1900
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Mailing Address
-- JONATHAN BASILE D.P.T.
2142 UTOPIA PKWY
WHITESTONE, NY 11357-4142
Phone number: 718-819-6805
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