Provider Demographics
NPI:1790995926
Name:DAYAN, JILL
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:DAYAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CORTLANDT MANOR RD
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-3203
Mailing Address - Country:US
Mailing Address - Phone:914-232-5693
Mailing Address - Fax:914-232-7408
Practice Address - Street 1:31 CORTLANDT MANOR RD
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-3203
Practice Address - Country:US
Practice Address - Phone:914-232-5693
Practice Address - Fax:914-232-7408
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004617208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation