Individual
DR. IRINA KLYATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
180 MARBLE AVE, PLEASANTVILLE, NY 10570-3424
(914) 769-7300
(914) 769-7328
Mailing address
14 CHURCH ST, SUITE 200, OSSINING, NY 10562-4831
(914) 923-9414
(914) 923-9412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
225505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02357399
—
NY
01
—
1811986466
NPI
NY
Enumeration date
10/17/2005
Last updated
04/21/2010
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