Individual
DR. ANASTASIA BAKOULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3 EDMUND D PELLEGRINO RD, STONY BROOK, NY 11794-2594
(631) 638-1000
(631) 638-0720
Mailing address
STONY BROOK SURGICAL ASSOCIATES HSC T19, ROOM 20, STONY BROOK, NY 11794-8191
(631) 444-5976
(631) 444-6348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
284277
NY
Other
Enumeration date
09/13/2011
Last updated
07/21/2022
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