MEDICARE: DR. HELENE C. PRYLUCKI DC

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	111N00000X	Chiropractor	X001896-1	NY

General Provider Information

NPI Number	:	1487741419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELENE C. PRYLUCKI DC

Provider Business Mailing Address
First Line	:	25 WEBSTER PL
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-3016
Country	:	US
Telephone Number	:	914-939-6147
Fax Number	:	914-939-4676

Provider Business Practice Location Address
First Line	:	25 WEBSTER PL
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-3016
Country	:	US
Telephone Number	:	914-939-6147
Fax Number	:	914-939-4676

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/09/2007

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