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Contact Information

GURBHUSHAN S BASRA, MD
101 SAINT ANDREWS LN
GLEN COVE, NY11542-2254
 Phone: 516-674-7540
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for GURBHUSHAN S BASRA · (Male)

NPI # 1043391311
Status Active
Credentials MD
Entity Individual
Enumeration date 10/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 159751-1
  • NY Medicaid 00847461
Hospital affiliation(s)
  • GLEN COVE HOSPITAL - (Acute Care)
    101 ST ANDREWS LANE
    GLEN COVE, NY 11542
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • PECONIC BAY MEDICAL CENTER - (Acute Care)
    1300 ROANOKE AVENUE
    RIVERHEAD, NY 11901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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