Konstantakos, Anastasios

Konstantakos, Anastasios is an individual health care provider with primary practice located at 319 S Manning Blvd Ste 110A , Albany NY 12208-1743. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Konstantakos, Anastasios can be contacted via phone (518) 525-2525.

Contact Information

Primary practice address
319 S Manning Blvd Ste 110A Albany NY 12208-1743
Phone: (518) 525-2525
Fax: (518) 525-2522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11339 Montana

Profile Details

NPI number 1902892110
LBN Legal business name Konstantakos, Anastasios
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902892110 NPPES
Montana Other 124057900 MDCD PIN
Montana Other 000097436 MDCD PIN

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