Provider Demographics
NPI:1285867093
Name:ORIOL, KEVIN (LMT)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:ORIOL
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 E 2ND ST APT 2C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9206
Mailing Address - Country:US
Mailing Address - Phone:917-613-7994
Mailing Address - Fax:917-210-2979
Practice Address - Street 1:112 W 27TH ST STE 402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6241
Practice Address - Country:US
Practice Address - Phone:917-613-7994
Practice Address - Fax:917-210-2979
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27-019550174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist