Individual
KALLIOPI S NISSIRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
93 FRANKLIN TPKE STE 202, WALDWICK, NJ 07463-1859
(201) 987-0909
Mailing address
93 FRANKLIN TPKE STE 202, WALDWICK, NJ 07463-1859
(201) 987-0909
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10091300
NJ
2084P0800X
Psychiatry Physician
293664-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2014
Last updated
09/07/2022
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