Organization
PEDIATRIC STATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASSIOS KYRIAKAKOS MD (PRESIDENT)
(718) 329-2275
Entity
Organization
Contact information
Practice address
3050 GRAND CONCOURSE, BRONX, NY 10458
(718) 329-2275
(718) 329-2276
Mailing address
PO BOX 518, BRONXVILLE, NY 10708-0518
(718) 239-2275
(718) 329-2276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/30/2006
Last updated
08/22/2020
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