Provider Demographics
NPI:1669863080
Name:AKHTAR, SAILA
Entity Type:Individual
Prefix:
First Name:SAILA
Middle Name:
Last Name:AKHTAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2691 S COURSE DR APT 609
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-3938
Mailing Address - Country:US
Mailing Address - Phone:347-260-9677
Mailing Address - Fax:
Practice Address - Street 1:7 SAINT JAMES PL APT 12F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1216
Practice Address - Country:US
Practice Address - Phone:347-260-9677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-06
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health