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1104406560
ALEXIS KASSOTIS
NEW YORK, NY
NPI
1104406560
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-10
Last Update Date
2021-04-10
Business Address
ALEXIS KASSOTIS MD
635 W 165TH ST
NEW YORK, NY 10032-3724
Phone number: 212-305-2725
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Mailing Address
ALEXIS KASSOTIS MD
2235 33RD ST
ASTORIA, NY 11105-2402
Phone number: 914-819-2411
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