IndividualActive
Sophia Kavallaris
NPI 1356706717 · Specialist · Whitestone, NY
Sophia Kavallaris is a Specialist provider in Whitestone, NY (NPI 1356706717).
Provider details
- NPI number
- 1356706717
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1154256 (NY)
Practice location
15022 16th Rd
Whitestone, NY 11357-3118
Phone: (646) 474-8640
Street-level locationGet directions
Mailing address
15022 16th Rd
Whitestone, NY 11357-3118
Registry dates
- Enumerated
- 2015-12-29
- Last updated
- 2015-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.