Provider Demographics
NPI:1073704870
Name:RIEL, TARYN GRAPILON (PT)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:GRAPILON
Last Name:RIEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 MATTHEWS AVE
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-3012
Mailing Address - Country:US
Mailing Address - Phone:646-258-6448
Mailing Address - Fax:
Practice Address - Street 1:2005 MATTHEWS AVE
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3012
Practice Address - Country:US
Practice Address - Phone:646-258-6448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist