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Contact Information

PETER S KANARIS, PHD
496 SMITHTOWN BYP
#304
SMITHTOWN, NY11787-5005
 Phone: 631-979-2640
 Fax: 631-979-2684
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PETER S KANARIS · (Male)

NPI Number 1649254970
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/30/2005
Last updated 12/17/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 006658
  • NY Medicaid 00600091
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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