Individual
CHARLES KYRIANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 EASTCHESTER ROAD, CALVARY HOSPITAL, BRONX, NY 10461
(718) 518-2222
Mailing address
19 GARDEN TURN, MANHASSET, NY 11030
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
136648
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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