Dr DOMINICK BASILE is a male medical professional, specializing in Internal Medicine. He graduated in 1983.
7 ROSEMARY LN
CENTEREACH
NY
117204440
Tel: 6317363015
| Npi | 1366531311 |
| Pac Id | 9830225374 |
| Professional Enrollment Id | I20100410000110 |
| Last Name | BASILE |
| First Name | DOMINICK |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 7 ROSEMARY LN |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | CENTEREACH |
| State | NY |
| Zip Code | 117204440 |
| Phone Number | 6317363015 |
| Hospital Affiliation Ccn 1 | 330185 |
| Hospital Affiliation Lbn 1 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
| Hospital Affiliation Ccn 2 | 330246 |
| Hospital Affiliation Lbn 2 | ST CHARLES HOSPITAL |
| Hospital Affiliation Ccn 3 | 330393 |
| Hospital Affiliation Lbn 3 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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