Most Relevant Information
Provider Data
| NPI Number: | 1003405697 |
| Provider Name: | GABRIELLE LUISA BASILE NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 345990 |
Most Important Dates
| Enumeration Date: | 01/18/2021 |
| Last Updated: | 01/18/2021 |
Provider Practice Location
21 W 19TH ST
NEW YORK
NY
100114208
Practice Location Phone/Fax
| Phone: | 6466653632 |
| Fax: |
Provider Mailing Location
21 W 19TH ST
NEW YORK
NY
100114208
Provider Mailing Phone/Fax
| Phone: | 6466653632 |
| Fax: |