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Contact Information

DIMITRI N KESSARIS MDPC
315 EAST SHORE ROAD
MANHASSET, NY11030
 Phone: 516-487-5577
 Fax: 516-487-2947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for DIMITRI N KESSARIS MDPC · (Female)

NPI # 1154430148
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 10/14/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 1944221
  • NY Medicaid 03794781
  • NY Other 04172B GHI MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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