Individual provider · Type 1 NPI

Anastasia Bakoulis, DO

Surgery Physician · Stony Brook, NY

NPI number 1922380203 Active

Practice location

3 Edmund D Pellegrino Rd
Stony Brook, NY 11794-2594

Fax (631) 638-0720

Mailing address

Stony Brook Surgical Associates Hsc T19, Room 20
Stony Brook, NY 11794-8191

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X284277 (NY)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1922380203

Anastasia Bakoulis, DO's National Provider Identifier is 1922380203, issued on Sep 13, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 21, 2022.