Individual
MR. SIBI JOEL BASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-4500
Mailing address
29 PARK W, NEW HYDE PARK, NY 11040-3503
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
802795-01
NY
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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