Organization · Type 2 NPI

Tonuca Basu Physician P.c.

Multi-Specialty Clinic/Center · Ridgewood, NY

NPI number 1104266584 Active

Practice location

6044 Myrtle Ave
Ridgewood, NY 11385-5907

Fax (718) 456-7585

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

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About NPI 1104266584

Tonuca Basu Physician P.c.'s National Provider Identifier is 1104266584, issued on Jun 28, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Ridgewood, NY. The record was last updated on Jun 28, 2013.