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Anastasia Bakoulis, D.O
NPI 1922380203 · on the registry since 2011
Practice
- Address
- 3 Edmund D Pellegrino Rd
Stony Brook, NY 11794 - Phone
- (631) 638-1000
- Fax
- (631) 638-0720
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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