NORTH COUNTRY COLORECTAL SURGERY, PC
Radiology at Country Rd, Prt Jefferson Station, NY

License number
New York 206665
Category
Radiology
Type
Surgery
Owner
Name: DR. MARIA A BASILE M.D.
Title: OWNER
Phone: (631) 331-4672
Address
Address
41 N Country Rd, Prt Jefferson Station, NY 11777
National Provider ID: 1417045519
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH COUNTRY COLORECTAL SURGERY, PC

41 N Country Rd, Port Jefferson, NY 11777

Doing business as:
North Country Colorectal Surgery
Registration:
Jul 20, 2006
Phone:
(631) 331-4672 (Phone)
State ID:
3390620
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Maria A Basile, 41 N Country Rd, Port Jefferson, NY 11777 (Physical)
Categories:
Physicians & Surgeons

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