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:
Health care specialties
| Specialty | Code | License # | 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 last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598759003 | NPPES |
| New York | MEDICAID | 01755384 |
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