Sophia Kavallaris
NPI #1356706717 in Whitestone, New York
Provider Information
- NPI Number
- 1356706717
- Entity Type
- Individual
- Name
- Sophia Kavallaris
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 29, 2015
- Last Updated
- Dec 29, 2015
Practice Location
- Address
- 15022 16TH RD
- City
- Whitestone
- State
- New York
- ZIP Code
- 11357-3118
- Phone
- (646) 474-8640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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