Baktidy, Vlassi

Baktidy, Vlassi is an individual health care provider with primary practice located at 100 Manetto Hill Rd , Plainview NY 11803-1311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Baktidy, Vlassi can be contacted via phone (516) 933-1088.

Contact Information

Primary practice address
100 Manetto Hill Rd Plainview NY 11803-1311
Fax: (516) 933-6279
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 179733 New York

Profile Details

NPI number 1295731800
LBN Legal business name Baktidy, Vlassi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295731800 NPPES
New York MEDICAID 01243049
New York Other 11-3116877

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