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Ronald G. Basalyga, M.d. Pc
Specialist in Eden, New York
NPI 1053501700

Ronald G. Basalyga, M.d. Pc is a Specialist based in Eden, NY. Ronald G. Basalyga, M.d. Pc practices in Eden, NY. The NPI Number for Ronald G. Basalyga, M.d. Pc is 1053501700 and holds a License No. 095710 (New York).

The current practice location address for Ronald G. Basalyga, M.d. Pc is 4711 Pinecrest Ter, Eden, NY and can be reached out via phone at 716-649-5188 and via fax at 716-649-5188.

Location: 4711 Pinecrest Ter, Eden, NY, 14057-9757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053501700
Provider Name
Ronald G. Basalyga, M.d. Pc
Credential
Provider Entity Type
Organization
Address
4711 Pinecrest Ter, Eden, NY, 14057-9757
Phone Number
716-649-5188
Fax Number
716-649-5188
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225240609 01 NY MD NPI #
2308442 01 NY HMO
00591846 05 NY
DD3550 01 NY MD-MEDICARE ID #
00010011502 01 NY HMO
AA1447 01 NY PC MEDICARE ID #
institution
Provider Business Practice Location Address Details
Address
4711 Pinecrest Ter
City
Eden
State
New York
Zip
14057-9757
Phone Number
716-649-5188
Fax Number
716-649-5188
person
Provider Business Mailing Address Details
Address
4711 Pinecrest Ter
City
Eden
State
New York
Zip
14057-9757
Phone Number
716-649-5188
Fax Number
716-649-5188
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
095710 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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