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NPI Code Detail

MEDICARE: SIMRONJEET BASATI BDS, DDS

MEDICARE:   SIMRONJEET  BASATI  BDS, DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223E0200XEndodontics057729NY

General Provider Information

NPI Number : 1134511603
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIMRONJEET BASATI BDS, DDS
Provider Business Mailing Address
First Line : 350 E 30TH ST
Second Line : APT 1Y
City : NEW YORK
State : NY
Zip : 10016-8323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 JOHN ST
Second Line : SUITE 530
City : NEW YORK
State : NY
Zip : 10038-3101
Country : US
Telephone Number : 212-619-7899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2015
Last Update Date : 02/20/2015

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Directions to “ SIMRONJEET BASATI BDS, DDS” Practice Location

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