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Contact Information

ROSE MARY KYRIACOU, PA
1055 STEWART AVE
BETHPAGE, NY11714-3596
 Phone: 516-938-0100
 Fax: 516-938-0120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ROSE MARY KYRIACOU · (Female)

NPI # 1477654861
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 09/26/2006
Last updated 02/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 002002
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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