Most Relevant Information
Provider Data
| NPI Number: | 1003644394 |
| Provider Name: | BASIL AKUT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 013809 |
Most Important Dates
| Enumeration Date: | 07/26/2024 |
| Last Updated: | 07/26/2024 |
Provider Practice Location
1915 FOREST AVE
STATEN ISLAND
NY
103032127
Practice Location Phone/Fax
| Phone: | 7189813136 |
| Fax: | 7189816849 |
Provider Mailing Location
1915 FOREST AVE
STATEN ISLAND
NY
103032127
Provider Mailing Phone/Fax
| Phone: | 7189813136 |
| Fax: |