Dr LIA R BASSO is a female medical professional, specializing in Physician Assistant. She graduated in 2017.
ADVANCED DERMATOLOGY, PLLC
315 GRANT AVE
LAKE KATRINE
NY
124495342
Tel: 8453392525
| Npi | 1972026169 |
| Pac Id | 0042586448 |
| Professional Enrollment Id | I20171031001369 |
| Last Name | BASSO |
| First Name | LIA |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | ADVANCED DERMATOLOGY, PLLC |
| Group Practice Pac Id | 0648286427 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 315 GRANT AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAKE KATRINE |
| State | NY |
| Zip Code | 124495342 |
| Phone Number | 8453392525 |
| Hospital Affiliation Ccn 1 | 330013 |
| Hospital Affiliation Lbn 1 | ALBANY MEDICAL CENTER HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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