| NPI | 1780751776 |
|---|---|
| Doing Business As | FAMILY MEDICAL MD PC |
| Entity Type | Organization |
| Authorized Contact | SANTO BASILEO Director 718-347-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NY F304231) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: NY 184113-1) |
| 173000000X Legal Medicine (Licence: NY 176820-2) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-02-11 |