NPI
Yassiel Basulto
NPI 1740087055
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2025-02-25
- Last updated
- 2025-02-25
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 136 Ridgemont Dr
- City
- Hopewell Junction NY
- Postal code
- 12533-8230
- Phone
- (718) 749-7108
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Hopewell Junction, NY. 416 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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