MEDICARE: MS. CHRYSSA TSAKIRIS LAC

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
1	171100000X	Acupuncturist	5361	NY

General Provider Information

NPI Number	:	1942606702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRYSSA TSAKIRIS LAC

Provider Business Mailing Address
First Line	:	30 HAMILTON AVE
Second Line	:
City	:	OSSINING
State	:	NY
Zip	:	10562-5477
Country	:	US
Telephone Number	:	914-418-5679
Fax Number	:

Provider Business Practice Location Address
First Line	:	245 N BROADWAY STE 207
Second Line	:
City	:	SLEEPY HOLLOW
State	:	NY
Zip	:	10591-2657
Country	:	US
Telephone Number	:	914-418-5679
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	09/04/2024

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