VINCENT P BASILICE M D P C

Address: 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327
Phone: 6317512020

VINCENT P BASILICE M D P C (NPI# 1679588164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679588164
Entity Type 2 - Organization
Organization Name VINCENT P BASILICE M D P C
Other Organization Name THE OPHTHALMIC CENTER
Practice Address 3400 Nesconset Hwy
Suite 107
East Setauket
NY 11733-3327
Practice Telephone 6317512020
Practice Fax Number 6317510048
Enumeration Date 07/31/2006
Last Update Date 04/15/2015
Authorized Official Name VINCENT PRESCOTT BASILICE (MEDICAL DIRECTOR/ PRESIDENT)
Authorized Official Telephone 6317512020
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist TUV005780-1 NY Eye and Vision Services Providers
N 152W00000X Optometrist 4104 NY Eye and Vision Services Providers
N 207W00000X Ophthalmology 187993 NY Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology 127126 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00417469 05
NY RAILROAD MEDICARE 441181927 01

Office Location

Street Address 3400 NESCONSET HWY
SUITE 107
City EAST SETAUKET
State NY
Zip Code 11733-3327

Providers with the same location

NPI Name Address
1205892205 DR. ROBERT JOHN BARANOWSKI 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327
1861459208 DR. WILLIAM J COHN 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327
1407813579 DR. GARY RICHARD BERNSTEIN 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327
1508823600 DR. SETH EVAN PERSKY 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327
1871551879 DR. HOWARD ADAM KESCHNER 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327
1497713887 DR. EUGENE ANTHONY COMAN 3400 Nesconset Hwy, Suite 101, East Setauket, NY 11733-3327
1497772958 DR. MICHAEL S CONNERS 3400 Nesconset Hwy, Technology Drive, Suite 107, East Setauket, NY 11733-3327
1659399806 DR. MICHAEL MAKRIDES 3400 Nesconset Hwy, Suite 102, East Setauket, NY 11733-3327
1306931373 DR. DEBRA A MESSINA 3400 Nesconset Hwy, Suite 107, East Setauket, NY 11733-3327
1881765014 DR. EMILY GLAZER 3400 Nesconset Hwy, Ste 101, East Setauket, NY 11733-3327

Competitor

Search similar physicians

City EAST SETAUKET
Zip Code 11733

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.