<Unavail>
LBN: Vincent P Basilice M D P C
<Unavail> is an health care organization with primary practice located at 3400 Nesconset Hwy Suite 107, East Setauket NY 11733-3327. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Vincent P Basilice M D P C can be contacted via phone (631) 751-2020, or through Basilice, Vincent Prescott via phone (631) 751-2020.
Contact Information
Primary practice address
3400 Nesconset Hwy Suite 107
East Setauket NY 11733-3327
Phone: (631) 751-2020
Fax: (631) 751-0048
Website:
Authorized official contact:
Name: Basilice, Vincent Prescott Doctor of Medicine (MD)
Phone: (631) 751-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005780-1 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4104 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 127126 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 187993 | New York |
Profile Details
| NPI number | 1679588164 |
|---|---|
| LBN Legal business name | Vincent P Basilice M D P C |
| DBA Doing business as | <Unavail> |
| Authorized official | Basilice, Vincent Prescott Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Oct 7th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679588164 | NPPES |
| New York | MEDICAID | 00417469 | |
| New York | Other | 441181927 |
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