Provider Demographics
NPI:1881865285
Name:KASAPIRA, SOPHIA THADEOS (MD)
Entity Type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:THADEOS
Last Name:KASAPIRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5645 MAIN ST
Mailing Address - Street 2:DEPARTMENT OF MEDICINE
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5045
Mailing Address - Country:US
Mailing Address - Phone:718-670-1231
Mailing Address - Fax:
Practice Address - Street 1:18215 HORACE HARDING EXPY
Practice Address - Street 2:MEDICINE CLINIC
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2242
Practice Address - Country:US
Practice Address - Phone:718-670-1231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-13
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247738207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine