Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sophia Kavallaris

Individual provider Specialist · NPI 1356706717

Sophia Kavallaris is a Specialist in Whitestone, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

15022 16th Rd
Whitestone, NY 11357-3118
Phone: (646) 474-8640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1154256 (NY)

Record details

NPI number1356706717
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2015
Last updated in NPPESDecember 29, 2015

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