Healthcare Provider Details

I. General information

NPI: 1932677721
Provider Name (Legal Business Name): ANTHONY YORIO REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2018
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 RETFORD AVE
STATEN ISLAND NY
10312-6108
US

IV. Provider business mailing address

406 RETFORD AVE
STATEN ISLAND NY
10312-6108
US

V. Phone/Fax

Practice location:
  • Phone: 917-435-3595
  • Fax: 718-744-9621
Mailing address:
  • Phone: 917-435-3595
  • Fax: 718-744-9621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ANTHONY M YORIO JR.
Title or Position: PRESIDENT
Credential: DPT
Phone: 917-435-3595