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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

NPI # 1154430148
LBN Legal business name DIMITRI N KESSARIS MDPC
Authorized official DIMITRI KESSARIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 10/14/2022 - About 4 years ago
Identifiers
NY License # 1944221
NY Medicaid 03794781
NY Other 04172B GHI MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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