Kanaris, Peter S
Kanaris, Peter S is an sole proprietor health care provider with primary practice located at 496 Smithtown Byp #304, Smithtown NY 11787-5005. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kanaris, Peter S can be contacted via phone (631) 979-2640.Contact Information
Primary practice address
496 Smithtown Byp #304
Smithtown NY 11787-5005
Phone: (631) 979-2640
Fax: (631) 979-2684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 006658 | New York |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 006658 | New York |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 006658 | New York |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 006658 | New York |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 006658 | New York |
Profile Details
| NPI number | 1649254970 |
|---|---|
| LBN Legal business name | Kanaris, Peter S |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2005 |
| Last updated | Dec 17th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649254970 | NPPES |
| New York | MEDICAID | 00600091 |
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