MEDICARE: KEVIN ORIOL LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	27-019550	NY

General Provider Information

NPI Number	:	1285867093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN ORIOL LMT

Provider Business Mailing Address
First Line	:	87 E 2ND ST APT 2C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-9206
Country	:	US
Telephone Number	:	917-613-7994
Fax Number	:	917-210-2979

Provider Business Practice Location Address
First Line	:	112 W 27TH ST STE 402
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-6241
Country	:	US
Telephone Number	:	917-613-7994
Fax Number	:	917-210-2979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2009
Last Update Date	:	08/26/2009

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