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1639473721
SHANNAN BASILE
WESTBURY, NY
NPI
1639473721
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2011-01-04
Last Update Date
2023-09-21
Business Address
SHANNAN BASILE
1400 OLD COUNTRY RD STE C103N
WESTBURY, NY 11590-5156
Phone number: 917-232-6828
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Mailing Address
SHANNAN BASILE
1400 OLD COUNTRY ROAD SUITE C103N
WESTBURY, NY 11590
Phone number: 917-232-6828
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