Irene Diana Patrylo in Port Jefferson - Rehabilitation Practitioner

Irene Diana Patrylo - NPI 1104092493

Irene Diana Patrylo is a Rehabilitation Practitioner in Port Jefferson, New York. Irene Diana Patrylo practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Irene Diana Patrylo is 1104092493. The last update date is 2009-06-26.

Irene Diana Patrylo's current location address is 200 Belle Terre Rd, Port Jefferson, New York. You can contact this provider via phone number 6314746879 and fax number 6314746448. The mailing address for Irene Diana Patrylo is 200 Belle Terre Rd, Port Jefferson, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Irene Diana Patrylo
Address 200 Belle Terre Rd, Port Jefferson, New York
Phone Number 6314746879
Fax Number 6314746448
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1104092493
Provider Enumeration Date 2008-05-06
Last Updated Date 2009-06-26

Provider Mailing Address Detail

Address 200 Belle Terre Rd
City Port Jefferson
State New York (NY)
Post Code 117771928
Phone Number 6314746879
Fax Number 6314746448

Provider's Primary Taxonomy Detail

Speciality Rehabilitation Practitioner
Taxonomy 225400000X
Licence No 198926
Definition:
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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FAQs about Irene Diana Patrylo

What is the Irene Diana Patrylo's 1104092493?

The Irene Diana Patrylo's NPI (National Provider Identifier) Number is 1104092493. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Irene Diana Patrylo is physically located?

The Irene Diana Patrylo is physically situated at the following address: 200 Belle Terre Rd, Port Jefferson, NY, 117771928.

What is the area of specialization for Irene Diana Patrylo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Irene Diana Patrylo is Rehabilitation Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 225400000X.

On what date did the Irene Diana Patrylo receive its 1104092493 assignment from the Centers for Medicare & Medicaid Services?

The Irene Diana Patrylo was assigned its 1104092493 by the Centers for Medicare & Medicaid Services on 2008-05-06.

When was the information regarding Irene Diana Patrylo most recently updated?

The details pertaining to the Irene Diana Patrylo, including its address, specialty, and other relevant information, were last refreshed on 2009-06-26.

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