Individual
DR. DIMITRI NIKITAS KESSARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 EAST SHORE RD, MANHASSET, NY 11030
(516) 487-5577
(516) 487-2947
Mailing address
315 EAST SHORE RD, 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
—
01639683
—
NY
01
—
04172G
GHI MEDICARE
NY
Enumeration date
02/14/2006
Last updated
10/14/2022
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