NPI 1104092493

Irene Diana Patrylo, MD

Practitioner Rehabilitation Practitioner Port Jefferson, NY

Practice location

Address: 200 Belle Terre Rd, Port Jefferson, NY 11777-1928
Phone: (631) 474-6879
Fax: (631) 474-6448

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 198926 (NY)

Other Rehabilitation Practitioner providers in New York →

Registry record

NPI: 1104092493
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 May 2008
Record last updated: 26 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.