Tonuca Basu Physician P.c. | |
6044 Myrtle Ave Ridgewood NY 11385-5907 | |
(718) 386-7000 | |
(718) 456-7585 |
Full Name | Tonuca Basu Physician P.c. |
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Speciality | Clinic/center - Multi-specialty |
Location | 6044 Myrtle Ave, Ridgewood, New York |
Authorized Official Name and Position | Tonua Basu (PRESIDENT) |
Authorized Official Contact | 7183867000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tonuca Basu Physician P.c. 6044 Myrtle Ave Ridgewood NY 11385-5907 Ph: (718) 386-7000 | Tonuca Basu Physician P.c. 6044 Myrtle Ave Ridgewood NY 11385-5907 Ph: (718) 386-7000 |
NPI Number | 1104266584 |
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Provider Enumeration Date | 06/28/2013 |
Last Update Date | 06/28/2013 |
Identifier | Type | State | Issuer |
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1104266584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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