Paul David Priolo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009215 Issued in NY

Practice address

4250 Veterans Memorial Hwy
Suite 1020
Holbrook, NY 11741-4000

Phone

(631) 737-5143

Fax

(631) 737-5224

NPI assigned

Oct 27, 2006

Last updated

Feb 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paul D Priolo DC PC

  • Clinic/Center
  • Ronkonkoma, NY
  • NPI 1225782618
  NPD Authorized official
• South Shore Medical Care &Diagnostic, PC

  • Physical Medicine & Rehabilitation Physician
  • Holbrook, NY
  • NPI 1700054954

  Chiropractor

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1922184746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHAPEL HILL CT",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117552470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 1020",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414000",
            "telephone_number": "631-737-5143",
            "fax_number": "631-737-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOLO",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Ann Pontacolone, RN
• Cristen Porcaro, LCSW
• Jane Theresa Porcaro
• Diane Patricia Porcello, RN
• Scott R Poretsky
• PRN Physical & Occupational Therapy Network
• PRN Physical Therapy PC
• PRN Physical, Occupational and Speech Therapy Network, PLLC
• Professional Occupational & Physical Therapy, PLLC
• Tatyana Prusakova

• Chiropractor in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.