Provider Demographics
NPI:1013043595
Name:IORIO, RALPH EMIL (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:EMIL
Last Name:IORIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:896 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2147
Mailing Address - Country:US
Mailing Address - Phone:516-295-1149
Mailing Address - Fax:516-295-4924
Practice Address - Street 1:896 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2147
Practice Address - Country:US
Practice Address - Phone:516-295-1149
Practice Address - Fax:516-295-4924
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174382207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY30F121Medicare ID - Type Unspecified
NYE20020Medicare UPIN