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1730931189
DANIEL BASTA
VALHALLA, NY
NPI
1730931189
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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
2024-04-01
Last Update Date
2024-04-01
Business Address
DANIEL BASTA MD
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-7000
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Mailing Address
DANIEL BASTA MD
75 BIRCH AVE
NORTH CALDWELL, NJ 07006-4582
Phone number: 862-926-8014
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