Organization
5BOROINTERVENTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIL RYLO MSED (PRESIDENT)
(631) 704-4567
Entity
Organization
Contact information
Practice address
268 BARCLAY AVE, STATEN ISLAND, NY 10312-4802
(631) 704-4567
Mailing address
268 BARCLAY AVE, STATEN ISLAND, NY 10312-4802
(631) 704-4567
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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