Kassotis, John

Kassotis, John is an individual health care provider with primary practice located at 951 Roanoke Ave , Riverhead NY 11901-2724. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Kassotis, John can be contacted via phone (631) 369-5005.

Contact Information

Primary practice address
951 Roanoke Ave Riverhead NY 11901-2724
Phone: (631) 369-5005
Fax: (631) 369-4994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology 207RA0001X 187961-01 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 187961-1 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA07553100 New Jersey
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 187961-01 New York

Profile Details

NPI number 1598759003
LBN Legal business name Kassotis, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Apr 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598759003 NPPES
New York MEDICAID 01755384

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