National Provider Identifier
Kristopher Konyak
Kristopher Konyak is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 936-1771.
Profile Overview
- NPI
- 1548050800
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 09, 2025
- Last Updated
- May 09, 2025
Practice Location
- 323 N Tioga St
- Ithaca, NY 14850-4205
Phone: (607) 936-1771
Mailing Address
- 33 Denison Pkwy W
- Corning, NY 14830-2613
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1548050800
- Entity Type
- Individual
- Last Name
- Konyak
- First Name
- Kristopher
- Mailing Street Address
- 33 Denison Pkwy W
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-2613
- Mailing Country
- US
- Mailing Phone
- (607) 937-3200
- Mailing Fax
- (607) 937-3205
- Practice Street Address
- 323 N Tioga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4205
- Practice Country
- US
- Practice Phone
- (607) 936-1771
- Practice Fax
- (607) 229-1200
- Enumeration Date
- May 09, 2025
- Last Updated
- May 09, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)