BASIL THAKIDIPURATHU BABY

BAY SHORE, NY
NPI1790487643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-21
Last Update Date2023-03-21
Business Address
Dr. BASIL THAKIDIPURATHU BABY MD
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3503
Mailing Address
Dr. BASIL THAKIDIPURATHU BABY MD
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3503