MEDICARE: DR. WILLIAM S. KASPER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	105422	NY

General Provider Information

NPI Number	:	1851307987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM S. KASPER M.D.

Provider Business Mailing Address
First Line	:	260 E MIDDLE COUNTRY RD
Second Line	:	SUITE 201
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-2982
Country	:	US
Telephone Number	:	631-265-8780
Fax Number	:	631-265-8521

Provider Business Practice Location Address
First Line	:	520 FRANKLIN AVE
Second Line	:	SUITE L9
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-5813
Country	:	US
Telephone Number	:	631-265-8780
Fax Number	:	631-265-8521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	02/09/2015

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