Provider Demographics
NPI:1104386218
Name:KASS, WILLIAM S (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:S
Last Name:KASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:180 SUMMIT AVE APT A3
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-2917
Mailing Address - Country:US
Mailing Address - Phone:608-609-2304
Mailing Address - Fax:
Practice Address - Street 1:188 DYCKMAN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1004
Practice Address - Country:US
Practice Address - Phone:646-762-2020
Practice Address - Fax:212-567-2730
Is Sole Proprietor?:No
Enumeration Date:2019-03-24
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY321874207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology