Dr Emanuel Kostakos, PHD - Psychologist in Port Jefferson Station, NY

Dr Emanuel Kostakos, PHD is a Psychologist - School based in Port Jefferson Station, New York. Dr Emanuel Kostakos is licensed to practice in New York (license number 010590-1) and his current practice location is 460 Old Town Rd Apt 8j, Port Jefferson Station, New York. He can be reached at his office (for appointments etc.) via phone at (631) 474-0901.

NPI number for Dr Emanuel Kostakos is 1316157134 and his current mailing address is 460 Old Town Rd Apt 8j, Port Jefferson Station, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316157134.

Contact Information

Dr Emanuel Kostakos, PHD
460 Old Town Rd Apt 8j,
Port Jefferson Station, NY 11776-2216
(631) 474-0901
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Emanuel Kostakos
GenderMale
SpecialityPsychologist - School
Location460 Old Town Rd Apt 8j, Port Jefferson Station, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316157134
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Emanuel Kostakos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316157134NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 010590-1 (New York)Primary
103TC0700XPsychologist - Clinical 010590-1 (New York)Primary
103TS0200XPsychologist - School 010590-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Emanuel Kostakos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Emanuel Kostakos, PHD
460 Old Town Rd Apt 8j,
Port Jefferson Station, NY 11776-2216

Ph: (631) 474-0901
Dr Emanuel Kostakos, PHD
460 Old Town Rd Apt 8j,
Port Jefferson Station, NY 11776-2216

Ph: (631) 474-0901

Reviews and Comments


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