Provider Demographics
NPI:1942606702
Name:TSAKIRIS, CHRYSSA (LAC)
Entity type:Individual
Prefix:MS
First Name:CHRYSSA
Middle Name:
Last Name:TSAKIRIS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-5477
Mailing Address - Country:US
Mailing Address - Phone:914-418-5679
Mailing Address - Fax:
Practice Address - Street 1:245 N BROADWAY STE 207
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2657
Practice Address - Country:US
Practice Address - Phone:914-418-5679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-06
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5361171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist