Provider Demographics
NPI:1427161926
Name:KYVELOS, EFNIKI (MD)
Entity type:Individual
Prefix:DR
First Name:EFNIKI
Middle Name:
Last Name:KYVELOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3166 36TH ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-1036
Mailing Address - Country:US
Mailing Address - Phone:212-562-2455
Mailing Address - Fax:212-562-5518
Practice Address - Street 1:550 FIRST AVE, 8S4-11
Practice Address - Street 2:DEPT OF PEDIATRICS NYU SOM
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-562-2455
Practice Address - Fax:212-562-5518
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238899208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics