Irene Diana Patrylo M.D.

NPI 1104092493 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1104092493
Gender Female
Enumeration Date 05/06/2008
Last Updated 06/26/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
200 BELLE TERRE RD
PORT JEFFERSON NY, 11777-1928, US
Phone (631) 474-6879
Fax (631) 474-6448
Business Location
200 BELLE TERRE RD
PORT JEFFERSON NY, 11777-1928, US
Phone (631) 474-6879
Fax (631) 474-6448
Toxanomy
Taxonomy Code 225400000X
License State New York
License Number 198926
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According to our database, Irene Diana Patrylo M.D. NPI is 1104092493, taxonomy code is 225400000X and license number is 198926, license state is located at New York. Irene Diana Patrylo M.D. physically located at 200 Belle Terre Rd, Port Jefferson NY, 11777-1928. NPI Number Irene Diana Patrylo M.D. has the Individual type.

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1104092493 NPI number is provided on an as is basis without warranty of any kind. 1104092493 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Diana Patrylo M.D. are for informational purposes only.