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NPI Code Detail

MEDICARE: CHRISTOPHER KYRIAKIDES,D.O.SPORTSMEDICINE&ORTHOPEDICREHABILITATION,PC

MEDICARE: CHRISTOPHER KYRIAKIDES,D.O.SPORTSMEDICINE&ORTHOPEDICREHABILITATION,PC
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
1208100000XPhysical Medicine & Rehabilitation Physician183380NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101600OTHERNYMEDICARE PTAN

General Provider Information

NPI Number : 1356506562
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHRISTOPHER KYRIAKIDES,D.O.SPORTSMEDICINE&ORTHOPEDICREHABILITATION,PC
Provider Business Mailing Address
First Line : 3825 ASTORIA BLVD
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3608
Country : US
Telephone Number : 718-274-7300
Fax Number :
Provider Business Practice Location Address
First Line : 3825 ASTORIA BLVD
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3608
Country : US
Telephone Number : 718-274-7300
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. CHRISTOPHER KYRIAKIDES
Credential : D.O
Telephone Number : 718-274-5300
Provider Enumeration Date : 07/28/2008
Last Update Date : 10/30/2018

Similar Medicare Providers

1215921861 — DR. CHRISTOPHER KYRIAKIDES D.O.
Practice Location Address:
3825 ASTORIA BLVD
ASTORIA, NY
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Practice Phone: 718-274-7300
Practice Fax: 718-274-3997
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Practice Fax:
1669609582 — STATEWIDE INTERVENTIONAL PAIN MEDICINE, P.C.
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1720441660 — CORY ULLGER D.O.
Practice Location Address:
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1518490234 — JOSEPH WATERHOUSE D.P.M.
Practice Location Address:
3825 ASTORIA BLVD
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Practice Fax: 718-274-4617

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