DR. EMANUEL KOSTAKOS, PH.D.
Psychologist - School
Active
Individual
NPI: 1316157134
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | 010590-1 (NY) |
| Psychologist - Clinical | 103TC0700X | No | 010590-1 (NY) |
| Psychologist - School | 103TS0200X | Yes | 010590-1 (NY) |
Frequently Asked Questions
NPI 1316157134 is the National Provider Identifier for DR. EMANUEL KOSTAKOS, PH.D., a Psychologist - School provider located in Port Jefferson Station, NY. This NPI was enumerated on May 23, 2007.
DR. EMANUEL KOSTAKOS, PH.D. practices at 460 OLD TOWN RD APT 8J, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1316157134
- Type
- Individual
- Enumerated
- May 23, 2007
- Last Updated
- Sep 11, 2025
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