William R Basta MD Pllc

NPI #1982977435 in Glen Cove, New York

Provider Information

NPI Number: 1982977435
Entity Type: Organization
Organization Name: William R Basta MD Pllc
Primary Specialty: Internal Medicine - Pulmonary Disease
Enumeration Date: Feb 14, 2012
Last Updated: Feb 14, 2012

Practice Location

Address: 3 SCHOOL ST
Address 2: SUITE 303
City: Glen Cove
State: New York
ZIP Code: 11542-2590
Phone: (516) 676-2878

Authorized Official

Name: WILLIAM BASTA, M.D.
Title: OWNER
Phone: (516) 676-2878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Critical Care Medicine — Critical Care Medicine	207RC0200X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X	Primary

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