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1104092493
IRENE DIANA PATRYLO
PORT JEFFERSON, NY
NPI
1104092493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: NY 198926)
Enumeration Date
2008-05-06
Last Update Date
2009-06-26
Business Address
-- IRENE DIANA PATRYLO M.D.
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777-1928
Phone number: 631-474-6879
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Mailing Address
-- IRENE DIANA PATRYLO M.D.
200 BELLE TERRE RD
PORT JEFFERSON, NY 11777-1928
Phone number: 631-474-6879
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ADVANCED REHABILITATION MEDICINE PLLC.