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Irene Diana Patrylo, MD
Rehabilitation Practitioner in Port Jefferson, New York
NPI 1104092493

Irene Diana Patrylo is a Rehabilitation Practitioner based in Port Jefferson, NY. Irene Diana Patrylo practices in Port Jefferson, NY and has the professional credentials of MD. The NPI Number for Irene Diana Patrylo is 1104092493 and holds a License No. 198926 (New York).

The current practice location address for Irene Diana Patrylo is 200 Belle Terre Rd, Port Jefferson, NY and can be reached out via phone at 631-474-6879 and via fax at 631-474-6448.

Location: 200 Belle Terre Rd, Port Jefferson, NY, 11777-1928
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104092493
Provider Name
Irene Diana Patrylo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 Belle Terre Rd, Port Jefferson, NY, 11777-1928
Phone Number
631-474-6879
Fax Number
631-474-6448
Provider Enumeration Date
05/06/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6879
Fax Number
631-474-6448
person
Provider Business Mailing Address Details
Address
200 Belle Terre Rd
City
Port Jefferson
State
New York
Zip
11777-1928
Phone Number
631-474-6879
Fax Number
631-474-6448
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
198926 (New York)
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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