Individual
BASIL KAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 MAPLE AVE, ROCKVILLE CENTRE, NY 11570-4225
(516) 770-2574
Mailing address
132 RAYMOND ST, ROCKVILLE CENTRE, NY 11570-2541
(516) 670-7317
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2022
Last updated
06/17/2024
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