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Contact Information

IRENE D PATRYLO, MD
200 BELLE TERRE RD
PORT JEFFERSON, NY11777-1928
 Phone: 631-474-6879
 Fax: 631-474-6448
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for IRENE D PATRYLO · (Female)

NPI # 1104092493
Status Active
Credentials MD
Entity Individual
Enumeration date 05/06/2008
Last updated 06/26/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 198926
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • ST CATHERINE OF SIENA HOSPITAL - (Acute Care)
    50 ROUTE 25A
    SMITHTOWN, NY 11787
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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