Individual
ANASTASIA MARIE LYRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 E 98TH ST, NEW YORK, NY 10029-6501
(212) 241-6854
(212) 241-5333
Mailing address
23 AKRON PL, SHOREHAM, NY 11786-2321
(631) 742-2385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347365
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-6171197
EINS
NY
Enumeration date
02/10/2021
Last updated
03/01/2021
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