Provider Demographics
NPI:1154422897
Name:KYROU, CHRISTOS (DPM)
Entity type:Individual
Prefix:
First Name:CHRISTOS
Middle Name:
Last Name:KYROU
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 CLOCK TOWER COMMONS
Mailing Address - Street 2:ROUTE 22
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4055
Mailing Address - Country:US
Mailing Address - Phone:845-592-4919
Mailing Address - Fax:845-279-5168
Practice Address - Street 1:1007 ROUTE 82
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-6165
Practice Address - Country:US
Practice Address - Phone:845-227-6947
Practice Address - Fax:845-227-6729
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005423213E00000X, 213EP1101X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
043719868OtherHEALTHQUEST
PO8991OtherBLUE CROSS
043719868OtherHORIZON BC
043719868OtherMAGNACARE
P00019837OtherRR MEDICARE
1915529OtherUNITED HEALTHCARE
043719868OtherMULTIPLAN
NY01912770Medicaid
3187013OtherAETNA
4C3361OtherHEALTHNET
9663950002OtherCIGNA
P1225508OtherOXFORD
P00019837OtherRR MEDICARE
NYPA5781Medicare PIN
043719868OtherHEALTHQUEST
4C3361OtherHEALTHNET
U70577Medicare UPIN
NYPA578PS963Medicare PIN