1922302561 NPI number — CASABIANCA & KYROU, DPM, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922302561 NPI number — CASABIANCA & KYROU, DPM, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASABIANCA & KYROU, DPM, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922302561
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/22/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1007 ROUTE 82
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOPEWELL JUNCTION
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12533-6165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-227-6947
Provider Business Mailing Address Fax Number:
845-227-6729

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE ATRIUM AT ST. FRANCIS
Provider Second Line Business Practice Location Address:
SUITE 301
Provider Business Practice Location Address City Name:
POUGHKEEPSIE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12601-1362
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-483-5809
Provider Business Practice Location Address Fax Number:
845-483-5885
Provider Enumeration Date:
12/22/2010

Additional Information

Authorized Official

Authorized Official Last Name:
KYROU
Authorized Official First Name:
CHRISTOS
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
845-227-6947

Provider Taxonomy Codes

  • Taxonomy code: 213ES0131X , with the licence number:  N005423 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1499622 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 392789 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4C3361 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3187013 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9663950002 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1915529 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P08993 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: PO5346-3W . This is a "WORKERS COMPENSATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01912770 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1010284 . This is a "CDPHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00019837 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P1225508 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".




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