Provider Demographics
NPI:1982365953
Name:VLAHOS, KONSTANTIN ARISTIDES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KONSTANTIN
Middle Name:ARISTIDES
Last Name:VLAHOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9154 COUNTY HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:TREADWELL
Mailing Address - State:NY
Mailing Address - Zip Code:13846-4612
Mailing Address - Country:US
Mailing Address - Phone:518-366-5120
Mailing Address - Fax:
Practice Address - Street 1:460 ANDES RD
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:NY
Practice Address - Zip Code:13753-7443
Practice Address - Country:US
Practice Address - Phone:607-746-0332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY065883183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist