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NPI Code Detail

MEDICARE: KERRIN C. IORIO P.A.

MEDICARE:   KERRIN C. IORIO  P.A.
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
1363A00000XPhysician Assistant008843-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00165844OTHERRAILROAD

General Provider Information

NPI Number : 1477529667
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRIN C. IORIO P.A.
Provider Business Mailing Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2508
Country : US
Telephone Number : 718-630-6356
Fax Number :
Provider Business Practice Location Address
First Line : 150 55TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-2559
Country : US
Telephone Number : 718-630-7185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 05/17/2021

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Directions to “ KERRIN C. IORIO P.A.” Practice Location

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