| Doctor Name: | SONIA BASSILY |
| NPI Number: | 1013997592 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OD |
| License Number: | 27OA00552700 |
| Business Practice Address: | 4 Cornwall Ct East Brunswick, NJ - 088163331 |
| Business Phone Number: | 7326139191 |
| Business Fax Number: | 7326131139 |
| Mailing Address: | 4 Cornwall Ct, EAST BRUNSWICK |
| State: | NJ |
| Postal Code: | 088163331 |
| Phone Number: | 7326139191 |
| Fax Number: | 7326131139 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WP0200X |
| License Number: | 27OA00552700 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |