Peter E Kotsovolos
Peter E Kotsovolos is a Certified Registered Nurse Anesthetist (CRNA) in Plainview, New York. Qualified in 2025, 1 year ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
888 Old Country RdPlainview, NY 11803-4914
Phone: (516) 719-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 156039 (NY) |
|---|---|
| Critical Care Medicine Registered Nurse | Taxonomy 163WC0200X · Licence 752812 (NY) |
Record details
| NPI number | 1629969514 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 10, 2025 |
| Last updated in NPPES | September 30, 2025 |
| Certification date | September 30, 2025 |
| Mailing address | 1309 Smith Ave, North Bellmore, NY 11710-2332 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | North Shore - Lij Anesthesiology, Pc — 1004 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |