Ronald G. Basalyga, M.d. PC

NPI #1053501700 in Eden, New York

Provider Information

NPI Number: 1053501700
Entity Type: Organization
Organization Name: Ronald G. Basalyga, M.d. PC
Primary Specialty: Specialist
Enumeration Date: Jul 30, 2007
Last Updated: Jul 30, 2007

Practice Location

Address: 4711 PINECREST TER
City: Eden
State: New York
ZIP Code: 14057-9757
Phone: (716) 649-5188

Authorized Official

Name: DR. RONALD G. BASALYGA
Title: PRESIDENT
Phone: (716) 649-5188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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