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Individual

CHRISTOPHER KYRIACOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
599 E MAIN ST, BAY SHORE, NY 11706-8505
(631) 666-2246
Mailing address
599 E MAIN ST, BAY SHORE, NY 11706-8505

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33497
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01211843
NY
Enumeration date
11/16/2007
Last updated
11/16/2007
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