VSEVOLOD BAKIS PMHNP
NPI 1962242875
Nurse Practitioner - Psychiatric/Mental Health in Clifton Park, NY
Active since May 29, 2024
About Vsevolod Bakis Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VSEVOLOD BAKIS PMHNP (NPI 1962242875) is an individual psychiatric/mental health provider in Clifton Park, New York, licensed in New York (F405894) and active in the NPI registry since May 2024.
NPPES Registry Identity
NPI1962242875
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameVSEVOLOD BAKISCredential: PMHNP
Location Address4 EMMA LN STE 402Clifton Park, NY 12065-3705
Mailing Address515 W Mountain RdQueensbury, NY 12804-8445 · (917) 257-6053
Phone(518) 557-1712
Fax(518) 557-1713
Sole ProprietorYes
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1962242875 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F405894
4 EMMA LN STE 402, Clifton Park, NY 12065
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
4 EMMA LN STE 402
CLIFTON PARK, NY 12065
CLIFTON PARK, NY 12065
Nurse Practitioner (Psychiatric/Mental Health)
4 EMMA LN STE 402
CLIFTON PARK, NY 12065
CLIFTON PARK, NY 12065
Marriage & Family Therapist
4 EMMA LN STE 402
CLIFTON PARK, NY 12065
CLIFTON PARK, NY 12065
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962242875, enumerated as an "individual" on May 29, 2024.
The provider is located at 4 EMMA LN STE 402 CLIFTON PARK, NY 12065 and the phone number is (518) 557-1712.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
