Provider Demographics
NPI:1215770607
Name:CHASABENIS, STAMATIS (MS)
Entity type:Individual
Prefix:
First Name:STAMATIS
Middle Name:
Last Name:CHASABENIS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:STU
Other - Middle Name:
Other - Last Name:CHASABENIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:1553 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3415
Mailing Address - Country:US
Mailing Address - Phone:917-721-9596
Mailing Address - Fax:
Practice Address - Street 1:533 BEACH 126TH ST
Practice Address - Street 2:
Practice Address - City:BELLE HARBOR
Practice Address - State:NY
Practice Address - Zip Code:11694-1770
Practice Address - Country:US
Practice Address - Phone:718-309-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-14
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health