Provider Demographics
NPI:1750708491
Name:KYRIANNIS, MICHAEL EMMANUEL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:EMMANUEL
Last Name:KYRIANNIS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-2516
Mailing Address - Country:US
Mailing Address - Phone:212-571-4511
Mailing Address - Fax:212-571-4515
Practice Address - Street 1:250 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-2516
Practice Address - Country:US
Practice Address - Phone:212-571-4511
Practice Address - Fax:212-571-4515
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist