VSEVOLOD BAKIS

CLIFTON PARK, NY
NPI1962242875
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F405894)
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
VSEVOLOD BAKIS PMHNP
4 EMMA LN STE 402
CLIFTON PARK, NY 12065-3705
Phone number: 518-557-1712
Mailing Address
VSEVOLOD BAKIS PMHNP
515 W MOUNTAIN RD
QUEENSBURY, NY 12804-8445
Phone number: 917-257-6053