Individual
BASIL AKUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1915 FOREST AVE, STATEN ISLAND, NY 10303-2127
(718) 981-3136
(718) 981-6849
Mailing address
1915 FOREST AVE, STATEN ISLAND, NY 10303-2127
(718) 981-3136
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
35343
NY
101YM0800X
Mental Health Counselor
Primary
013809
NY
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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