Stavrakis, Costas

Stavrakis, Costas is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Stavrakis, Costas can be contacted via phone (607) 547-3456.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326
Phone: (607) 547-3456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 291827 New York

Profile Details

NPI number 1578825196
LBN Legal business name Stavrakis, Costas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2012
Last updated Jan 31st, 2024 - about 10 months 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 1578825196 NPPES
Florida Other OS17838 STATE LICENSE

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