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Contact Information

COSTAS STAVRAKIS, D.O
1 ATWELL RD
COOPERSTOWN, NY13326
 Phone: 607-547-3456
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for COSTAS STAVRAKIS · (Male)

NPI Number 1578825196
Status Active
Credentials D.O
Entity Individual
Enumeration date 06/10/2012
Last updated 01/31/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 291827
  • FL Other OS17838 STATE LICENSE
Hospital affiliation(s)
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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