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1962242875
VSEVOLOD BAKIS
CLIFTON PARK, NY
NPI
1962242875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F405894)
Enumeration Date
2024-05-29
Last Update Date
2024-05-29
Business Address
VSEVOLOD BAKIS PMHNP
4 EMMA LN STE 402
CLIFTON PARK, NY 12065-3705
Phone number: 518-557-1712
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Mailing Address
VSEVOLOD BAKIS PMHNP
515 W MOUNTAIN RD
QUEENSBURY, NY 12804-8445
Phone number: 917-257-6053
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