Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IRENE DIANA PATRYLO, M.D.
Active Sole ProprietorIRENE DIANA PATRYLO, M.D. is a Occupational Therapy Assistant healthcare provider located in PORT JEFFERSON, New York. NPI 1104092493 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1104092493
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2008 (18.305250381376 yrs)
- Last Updated
- Jun 26, 2009
- License
-
198926 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 BELLE TERRE RDPORT JEFFERSON, NY, 117771928Browse NY providers · Browse ZIP 11777
- Phone
- 6314746879
- Fax
- 6314746448
- Primary Specialty
-
Occupational Therapy Assistant
225400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.