Individual
DR. EMANUEL KOSTAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
460 OLD TOWN RD APT 8J, PORT JEFFERSON STATION, NY 11776-2216
(631) 474-0901
Mailing address
460 OLD TOWN RD APT 8J, PORT JEFFERSON STATION, NY 11776-2216
(631) 474-0901
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
010590-1
NY
103TC0700X
Clinical Psychologist
010590-1
NY
103TS0200X
School Psychologist
Primary
010590-1
NY
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us