Healthcare Provider Details

I. General information

NPI: 1487741419
Provider Name (Legal Business Name): HELENE C. PRYLUCKI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WEBSTER PL
PORT CHESTER NY
10573-3016
US

IV. Provider business mailing address

25 WEBSTER PL
PORT CHESTER NY
10573-3016
US

V. Phone/Fax

Practice location:
  • Phone: 914-939-6147
  • Fax: 914-939-4676
Mailing address:
  • Phone: 914-939-6147
  • Fax: 914-939-4676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX001896-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: