Individual provider · Type 1 NPI

Vsevolod Bakis, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Clifton Park, NY

NPI number 1962242875 Active

Practice location

4 Emma Ln Ste 402
Clifton Park, NY 12065-3705

Fax (518) 557-1713

Mailing address

515 W Mountain Rd
Queensbury, NY 12804-8445

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF405894 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1962242875

Vsevolod Bakis, PMHNP's National Provider Identifier is 1962242875, issued on May 29, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Clifton Park, NY. The record was last updated on May 29, 2024.