Provider Demographics
NPI:1932677721
Name:ANTHONY YORIO REHABILITATION, INC.
Entity Type:Organization
Organization Name:ANTHONY YORIO REHABILITATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:M
Authorized Official - Last Name:YORIO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPT
Authorized Official - Phone:917-435-3595
Mailing Address - Street 1:406 RETFORD AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-6108
Mailing Address - Country:US
Mailing Address - Phone:917-435-3595
Mailing Address - Fax:718-744-9621
Practice Address - Street 1:406 RETFORD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-6108
Practice Address - Country:US
Practice Address - Phone:917-435-3595
Practice Address - Fax:718-744-9621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-09
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1003174103Medicaid