Boris Basanilov, OT | |
2201 Hempstead Turnpike, Nassau University Medical Center, East Meadow, NY 11554 | |
(516) 572-6131 | |
(516) 572-5793 |
Full Name | Boris Basanilov |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 2201 Hempstead Turnpike, East Meadow, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356581003 | NPI | - | NPPES |
63 014098 | Other | NY | LICENSE# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 63 014098 (New York) | Primary |
Provider Name | Nassau Health Care Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902822992 PECOS PAC ID: 2961315221 Enrollment ID: O20040619000043 |
Mailing Address | Practice Location Address |
---|---|
Boris Basanilov, OT 2201 Hempstead Turnpike, Nassau University Medical Center, East Meadow, NY 11554 Ph: (516) 572-6131 | Boris Basanilov, OT 2201 Hempstead Turnpike, Nassau University Medical Center, East Meadow, NY 11554 Ph: (516) 572-6131 |
Kenice E. Dalton Jr., O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, Nassau University Medical Center, East Meadow, NY 11554 Phone: 516-572-6131 | |
Denine Pappania, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 258 E Meadow Ave, East Meadow, NY 11554 Phone: 516-222-2010 | |
Lauren Remy, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 801 Merrick Ave, East Meadow, NY 11554 Phone: 516-393-8900 | |
Carol Chamoff, O. T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6131 | |
Tracy Larayne Lent, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 146 Wickshire Dr, East Meadow, NY 11554 Phone: 516-385-1498 Fax: 516-385-1498 | |
Katharine Butler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Merrick Ave, East Meadow, NY 11554 Phone: 855-487-3422 | |
Serena Zeidler, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Bette Rd, East Meadow, NY 11554 Phone: 516-579-6041 |