Provider Demographics
NPI:1265239560
Name:AKALONU, CLINTON
Entity type:Individual
Prefix:
First Name:CLINTON
Middle Name:
Last Name:AKALONU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2614 JACKSON AVE APT 6A
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2963
Mailing Address - Country:US
Mailing Address - Phone:929-402-5433
Mailing Address - Fax:
Practice Address - Street 1:2614 JACKSON AVE APT 6A
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2963
Practice Address - Country:US
Practice Address - Phone:929-402-5433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist