MEDICARE: MRS. PATRICIA ANN BASILE MS,PT

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
1	225100000X	Physical Therapist	015119	NY

General Provider Information

NPI Number	:	1508011339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA ANN BASILE MS,PT

Provider Business Mailing Address
First Line	:	1999 MARCUS AVE STE M15
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1023
Country	:	US
Telephone Number	:	516-488-8808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1999 MARCUS AVE STE M15
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1023
Country	:	US
Telephone Number	:	516-488-8808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	01/23/2026

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