Individual provider · Type 1 NPI

Jacob Basaleli, DO

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1457053043 Active

Practice location

550 1st Ave
New York, NY 10016-6402

Call (212) 263-5506 Map

Mailing address

15 Emerson Dr
Great Neck, NY 11023-1928

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X333173 (NY)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1457053043

Jacob Basaleli, DO's National Provider Identifier is 1457053043, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 16, 2026.