Provider Demographics
NPI:1316566250
Name:LEGAKIS, LUKE PETER
Entity type:Individual
Prefix:
First Name:LUKE
Middle Name:PETER
Last Name:LEGAKIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SOUTHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2554
Mailing Address - Country:US
Mailing Address - Phone:518-434-1446
Mailing Address - Fax:518-434-0806
Practice Address - Street 1:7 EMMA LN
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3763
Practice Address - Country:US
Practice Address - Phone:518-383-0001
Practice Address - Fax:518-434-0806
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335701207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy