Svyatoslav Bakis in Staten Island - Adult Development & Aging

Svyatoslav Bakis - NPI 1710107735

Svyatoslav Bakis is a Adult Development & Aging in Staten Island, New York. Svyatoslav Bakis practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Svyatoslav Bakis is 1710107735. The last update date is 2007-07-08.

Svyatoslav Bakis's current location address is 355 Mallory Ave, Staten Island, New York. You can contact this provider via phone number 7188766226. The mailing address for Svyatoslav Bakis is 355 Mallory Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Svyatoslav Bakis
Address 355 Mallory Ave, Staten Island, New York
Phone Number 7188766226
Fax Number
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1710107735
Provider Enumeration Date 2007-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 355 Mallory Ave
City Staten Island
State New York (NY)
Post Code 103054200
Phone Number 7188766226
Fax Number

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 052698-1
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
052698-1 NY LCSW

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FAQs about Svyatoslav Bakis

What is the unique identifier code issued to Svyatoslav Bakis by the Centers for Medicare & Medicaid Services (CMS)?

The Svyatoslav Bakis has been assigned the NPI (National Provider Identifier) 1710107735. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Svyatoslav Bakis is physically located?

The Svyatoslav Bakis is situated at the following address: 355 Mallory Ave, Staten Island, NY 103054200.

What is Svyatoslav Bakis's area of expertise and its corresponding taxonomy classification?

The Svyatoslav Bakis's field of specialization is Adult Development & Aging, and it falls under the taxonomy code 103Ta0700X, which categorizes healthcare providers based on their areas of practice.

When did Svyatoslav Bakis receive its 1710107735 assignment?

The Svyatoslav Bakis was assigned its 1710107735 on 2007-05-01, which is the date when this unique identifier was issued to the organization.

When was the Svyatoslav Bakis's information last updated?

The Svyatoslav Bakis's information was last updated on 2007-07-08.

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