Healthcare Provider Details

I. General information

NPI: 1013831825
Provider Name (Legal Business Name): ANASTASIA AMALIA DAKIS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3526 32ND ST
ASTORIA NY
11106-2756
US

IV. Provider business mailing address

3526 32ND ST
ASTORIA NY
11106-2756
US

V. Phone/Fax

Practice location:
  • Phone: 917-387-6095
  • Fax:
Mailing address:
  • Phone: 917-387-6095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011466
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: