Individual
DR. VLASSI BAKTIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MANETTO HILL RD, PLAINVIEW, NY 11803-1311
(516) 933-1088
(516) 933-6279
Mailing address
100 MANETTO HILL RD, PLAINVIEW, NY 11803-1311
(516) 933-1088
(516) 933-6279
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
179733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01243049
—
NY
01
—
11-3116877
TAX ID#
NY
Enumeration date
06/28/2005
Last updated
07/08/2007
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