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Individual

DR. BASIM ZAKI ADIB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D

Contact information

Practice address
450 LEXINGTON AVE, NEW YORK, NY 10017-3904
(914) 713-5285
Mailing address
3555 BAINBRIDGE AVE APT 2A, BRONX, NY 10467-1474
(917) 609-3916

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103382
NY

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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