Individual
ANDRE JOSEPH BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2857 LINDEN BLVD, BROOKLYN, NY 11208-5126
(718) 553-1100
(718) 553-1111
Mailing address
852 BAUER ST, ELMONT, NY 11003-4317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014662
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/15/2018
Last updated
05/30/2024
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