Search › New York › 103TS0200X
Emanuel Kostakos, PH.D
NPI 1316157134 · on the registry since 2007 · sole proprietor
Practice
- Address
- 460 Old Town Rd Apt 8j
Port Jefferson Station, NY 11776 - Phone
- (631) 474-0901
- Organisation at this address
- Diane A Gariepy Lcsw Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 103TS0200X
103TS0200X
- Also registered as
- 103T00000X
103TC0700X - Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York