Provider Demographics
NPI:1720356389
Name:CHIONIS, KALLIOPE (RPH)
Entity Type:Individual
Prefix:
First Name:KALLIOPE
Middle Name:
Last Name:CHIONIS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:KALLIOPE
Other - Middle Name:
Other - Last Name:KOSSARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:3711 QUEENS BLVD.
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101
Mailing Address - Country:US
Mailing Address - Phone:718-361-5170
Mailing Address - Fax:718-729-7869
Practice Address - Street 1:3711 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-1725
Practice Address - Country:US
Practice Address - Phone:718-361-5170
Practice Address - Fax:718-729-7869
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-09
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046189183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist