Provider Demographics
NPI:1437790078
Name:KYRIAKOU, KYRIAKOS (LMSW)
Entity Type:Individual
Prefix:MR
First Name:KYRIAKOS
Middle Name:
Last Name:KYRIAKOU
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:MR
Other - First Name:KENNY
Other - Middle Name:
Other - Last Name:KYRIAKOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMSW
Mailing Address - Street 1:1 DAVID PL # 2
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-2710
Mailing Address - Country:US
Mailing Address - Phone:516-524-3160
Mailing Address - Fax:
Practice Address - Street 1:1 DAVID PL
Practice Address - Street 2:
Practice Address - City:NORTH BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-2710
Practice Address - Country:US
Practice Address - Phone:516-524-3160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY107122104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty