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Contact Information

DOMINICK BASILE, MD
7 ROSEMARY LN
CENTEREACH, NY11720-4440
 Phone: 631-736-3015
 Fax: 631-736-9277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DOMINICK BASILE · (Male)

NPI # 1366531311
Status Active
Credentials MD
Entity Individual
Enumeration date 10/11/2006
Last updated 02/14/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 160600
  • NY Medicaid 01038251
  • NY Other 4211813 AETNA
  • NY Other BLUE CROSS BLUE SHIE BLUE CROSS BLUE SHIELD
  • NY Other 6417676 CIGNA
  • NY Other 96D771 FEDERAL BLUE SHIELD
  • NY Other 0096653 GHI NUMBER
  • NY Other AJ00073 MDNY NUMBER
  • NY Other CP225 OXFORD PROVIDER NUMBER
  • NY Other 110020159 TRAVELERS MEDICARE
  • NY Other 1596 VYTRA
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
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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