MR. Dale Basillote, RN
NPI #1316589104 in Kearny, New Jersey
Provider Information
- NPI Number
- 1316589104
- Entity Type
- Individual
- Name
- MR. Dale Basillote, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse - General Practice
- Credential
- RN
- Enumeration Date
- Oct 13, 2019
- Last Updated
- Oct 13, 2019
Practice Location
- Address
- 35 S HACKENSACK AVE
- City
- Kearny
- State
- New Jersey
- ZIP Code
- 07032-4635
- Phone
- (201) 395-5600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - General Practice — General Practice |
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