Provider Demographics
NPI:1205815727
Name:DOSSA, CHRISTOS DEAN (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOS
Middle Name:DEAN
Last Name:DOSSA
Suffix:
Gender:M
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:PO BOX 827
Mailing Address - Street 2:LENOX HILL STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-0008
Mailing Address - Country:US
Mailing Address - Phone:718-667-7927
Mailing Address - Fax:718-667-7897
Practice Address - Street 1:2460 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3117
Practice Address - Country:US
Practice Address - Phone:718-667-7927
Practice Address - Fax:718-667-7897
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1938062086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0020210OtherGHI MEDICARE
NY4C7966OtherTOUCHSTONE HEALTH
NYP407787OtherOXFORD
NY193806OtherHIP
NY3900022OtherGHI
NY020025127OtherRAILROAD MEDICARE
NY0454699005OtherCIGNA
NY01527637Medicaid
NY176127OtherELDER PLAN
NY1118117OtherUNITED HEALTHCARE
NY80247OtherGHI HMO
NYNI480OtherWELLCARE
NYSI00055-04OtherAMERICHOICE
NY1000016081OtherAFFINITY
NY193806D11OtherHEALTH FIRST
NY2202338OtherAETNA
NY3700100OtherUNITED HEALTHCARE MEDICAR
NY4C7966OtherPHS
NY4C7966OtherPHS
NY2202338OtherAETNA