Organization
DIMITRI N KESSARIS MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIMITRI N KESSARIS MD (PRESIDENT)
(516) 487-5577
Entity
Organization
Contact information
Practice address
315 EAST SHORE ROAD, MANHASSET, NY 11030
(516) 487-5577
(516) 487-2947
Mailing address
315 EAST SHORE ROAD, MANHASSET, NY 11030
(516) 487-5577
(516) 487-2947
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1944221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03794781
—
NY
01
—
04172B
GHI MEDICARE
NY
Enumeration date
08/30/2006
Last updated
10/14/2022
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