Lia Ruth Basso, PA-C
NPI #1972026169 in Lake Katrine, New York
Provider Information
- NPI Number
- 1972026169
- Entity Type
- Individual
- Name
- Lia Ruth Basso, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 20, 2017
- Last Updated
- Jan 16, 2019
Practice Location
- Address
- 315 GRANT AVE
- City
- Lake Katrine
- State
- New York
- ZIP Code
- 12449-5342
- Phone
- (845) 339-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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