Individual
ANTHONY MICHAEL KIRIAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
19 ERLWEIN CT, MASSAPEQUA, NY 11758-5507
(347) 801-5450
Mailing address
700 UNION PKWY STE 3, RONKONKOMA, NY 11779-7427
(631) 676-4185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023992
UNITED HEALTHCARE
NY
05
—
023992
—
NY
Enumeration date
10/02/2019
Last updated
10/02/2019
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