Bakoulis, Anastasia
Bakoulis, Anastasia is an individual health care provider with primary practice located at 3 Edmund D Pellegrino Rd , Stony Brook NY 11794-2594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Bakoulis, Anastasia can be contacted via phone (631) 638-1000.Contact Information
Primary practice address
3 Edmund D Pellegrino Rd
Stony Brook NY 11794-2594
Phone: (631) 638-1000
Fax: (631) 638-0720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 284277 | New York |
Profile Details
| NPI number | 1922380203 |
|---|---|
| LBN Legal business name | Bakoulis, Anastasia |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2011 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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