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Individual
DR. PETER S KANARIS
Active
Individual
DR. PETER S KANARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
006658
NY
103TB0200X
Cognitive & Behavioral Psychologist
006658
NY
103TC0700X
Clinical Psychologist
Primary
006658
NY
103TF0000X
Family Psychologist
006658
NY
103TR0400X
Rehabilitation Psychologist
006658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00600091
—
NY
Enumeration date
11/30/2005
Last updated
12/17/2007
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