Healthcare Provider Details

I. General information

NPI: 1477468940
Provider Name (Legal Business Name): NEW YORK & NEW JERSEY THERAPEUTIC SPINE CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 CENTRAL AVE STE 109
EAST ORANGE NJ
07018-2853
US

IV. Provider business mailing address

3825 ASTORIA BLVD
ASTORIA NY
11103-3608
US

V. Phone/Fax

Practice location:
  • Phone: 718-274-5300
  • Fax: 718-274-5207
Mailing address:
  • Phone: 718-274-5300
  • Fax: 718-274-5207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER KYRIAKIDES
Title or Position: OWNER
Credential: D.O.
Phone: 917-816-8831