Provider Demographics
NPI:1477537538
Name:DAYTON, ORRIN LOUIS III (PT)
Entity Type:Individual
Prefix:MR
First Name:ORRIN
Middle Name:LOUIS
Last Name:DAYTON
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 COLD SPRING RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3109
Mailing Address - Country:US
Mailing Address - Phone:516-496-4980
Mailing Address - Fax:516-496-9871
Practice Address - Street 1:85 COLD SPRING RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3109
Practice Address - Country:US
Practice Address - Phone:516-496-4980
Practice Address - Fax:516-496-9871
Is Sole Proprietor?:No
Enumeration Date:2005-12-02
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006542225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ52591Medicare PIN