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General NPI Number Information
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NPI Number | 1699078675
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Entity Type | Organization
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Legal Business Name | CASABIANCA & KYROU, DPM, PC
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 2424 ROUTE 6
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City | BREWSTER
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State | NY
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Zip | 10509-2539
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Country | US
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Telephone | 845-279-2367
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Fax | 845-279-6216
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Provider Business Mailing Address
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Address Line | 1007 ROUTE 82
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-6165
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Country | US
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Telephone | 845-227-6947
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Fax | 845-227-6729
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRISTOS KYROU
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Credential | DPM
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Telephone | 845-561-7646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005423
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License Number State | NY
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