Individual
DR. ALEXIS KASSOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1305 YORK AVE, NEW YORK, NY 10021-5663
(646) 962-2020
Mailing address
2235 33RD ST, ASTORIA, NY 11105-2402
(914) 819-2411
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
334908
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
334908
NY
Other
Enumeration date
04/10/2021
Last updated
08/03/2025
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