Provider Demographics
NPI:1770672776
Name:KASSAI, LAJOS ISTVAN (PT)
Entity Type:Individual
Prefix:MR
First Name:LAJOS
Middle Name:ISTVAN
Last Name:KASSAI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 321
Mailing Address - Street 2:
Mailing Address - City:OLD BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11804-0321
Mailing Address - Country:US
Mailing Address - Phone:516-749-1507
Mailing Address - Fax:
Practice Address - Street 1:1952 UNION BOULEVARD
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706
Practice Address - Country:US
Practice Address - Phone:631-968-0600
Practice Address - Fax:631-968-1600
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027547225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000108434OtherGHI HMO
NY227490POtherHIP
NY227490POtherHIP