Individual
CONSTANTINE BAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
595 HAMPTON RD, SOUTHAMPTON, NY 11968-3004
(631) 287-4047
(631) 675-2624
Mailing address
45 RESEARCH WAY, SUITE 105, EAST SETAUKET, NY 11733-6401
(631) 675-2125
(631) 675-2624
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
184658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013794991
—
NY
Enumeration date
11/08/2006
Last updated
03/08/2017
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