Mark Francis Kvassay

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

483773-1 Issued in NY

Practice address

120 Madison St
Syracuse, NY 13202-2822

Phone

(315) 426-3600

Fax

(315) 426-3605

NPI assigned

Jul 3, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1811733322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SHADY DR",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137605914",
            "telephone_number": "607-768-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MADISON ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132022822",
            "telephone_number": "315-426-3600",
            "fax_number": "315-426-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVASSAY",
        "first_name": "MARK",
        "middle_name": "FRANCIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "483773-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neenu Kuruvilla
• Esther Hariet Kusigalawo, RN
• Mary Frances Kusior, MD
• Atta Kutin-Boateng Jr., MD
• Ruth C Kutz
• Daniel A Kveselis, M.D.
• Kirk Kwaczala, PHARMD
• Sandra Kwateng
• Darren Kwee, PA
• Kristen Kwiek, LMSW

• Adult Psychiatric/Mental Health Registered Nurse in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Adult Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.