Dr VINCENT P BASILICE is a male medical professional, specializing in Ophthalmology. He graduated in 1975 from Saint Louis University School Of Medicine.
VINCENT P BASILICE MDPC
3400 NESCONSET HWY 107
EAST SETAUKET
NY
117333327
Tel: 6317512020
| Npi | 1396868527 |
| Pac Id | 0941195705 |
| Professional Enrollment Id | I20100308000833 |
| Last Name | BASILICE |
| First Name | VINCENT |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OPHTHALMOLOGY |
| Secondary Specialty 1 | |
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| Organization Legal Name | VINCENT P BASILICE MDPC |
| Group Practice Pac Id | 5597650358 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 3400 NESCONSET HWY 107 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 117333327 |
| Phone Number | 6317512020 |
| Hospital Affiliation Ccn 1 | 330185 |
| Hospital Affiliation Lbn 1 | JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON |
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| Professional Accepts Medicare Assignment | Y |
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