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NPI 1922302561

NPI 1922302561 : CASABIANCA & KYROU, DPM, PC : POUGHKEEPSIE, NY

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General NPI Number Information
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    NPI Number           |    1922302561
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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     |    12/22/2010
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    Last Update Date     |    12/22/2010
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Provider Practice Location Address
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    Address Line         |    THE ATRIUM AT ST. FRANCIS SUITE 301
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    City                 |    POUGHKEEPSIE
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    State                |    NY
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    Zip                  |    12601-1362
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    Country              |    US
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    Telephone            |    845-483-5809
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    Fax                  |    845-483-5885
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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                 |    DR. CHRISTOS  KYROU 
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    Credential           |    DPM
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    Telephone            |    845-227-6947
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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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