Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 029535 | NY |
NPI | 1003174103 |
---|---|
Provider Name | Dr. Anthony Yorio JR. |
First Address | Staten Island, NY 10312-6108 |
Second Address | Staten Island, NY 10312-6108 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 25/04/2012 |