Organization
PEDIATRIC STATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANASTASSIOS KYRIAKAKOS MD (PRESIDENT)
(718) 329-2275
Entity
Organization
Contact information
Practice address
3050 GRAND CONCOURSE, BRONX, NY 10458-1306
(718) 329-2275
Mailing address
PO BOX 518, BRONXVILLE, NY 10708-0518
(718) 329-2275
(718) 329-2276
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
F380500
NY
Other
Enumeration date
03/19/2008
Last updated
03/29/2016
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