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Dr. Vasileios Kostaras, MD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1144487968

Vasileios Kostaras is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Vasileios Kostaras practices in Stony Brook, NY and has the professional credentials of MD. The NPI Number for Vasileios Kostaras is 1144487968 and holds a License No. MT191836 (New York).

The current practice location address for Vasileios Kostaras is 101 Nicolls Road, Stony Brook, NY and can be reached out via phone at 631-444-1791 and via fax at 631-444-7689.

Location: 101 Nicolls Road, Stony Brook, NY, 11794-8191
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144487968
Provider Name
Vasileios Kostaras
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Nicolls Road, Stony Brook, NY, 11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
Provider Enumeration Date
05/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
person
Provider Business Mailing Address Details
Address
101 Nicolls Road
City
Stony Brook
State
New York
Zip
11794-8191
Phone Number
631-444-1791
Fax Number
631-444-7689
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Transplant Surgery
Speciality
-
Taxonomy
204F00000X
License No.
256798 (New York)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT191836 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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