Individual
CHRISIA LIVANIOS NOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, STE 2400, HAWTHORNE, NY 10532-2140
(914) 593-8850
(914) 593-8833
Mailing address
19 BRADHURST AVE, STE 2400, HAWTHORNE, NY 10532-2140
(914) 593-8850
(914) 593-8833
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
194662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620997
—
NY
Enumeration date
08/09/2005
Last updated
07/23/2013
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