| Doctor Name: | JEFFREY W CIOLINO |
| NPI Number: | 1144247222 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OT |
| License Number: | 0063691 |
| Business Practice Address: | 580 W Montauk Hwy West Babylon, NY - 117048307 |
| Business Phone Number: | 6314220900 |
| Business Fax Number: | 6314220900 |
| Mailing Address: | 143 Chardonnay Dr, EAST QUOGUE |
| State: | NY |
| Postal Code: | 119423829 |
| Phone Number: | 6312780665 |
| Fax Number: | 6314220900 |
| NPI Enumeration Date: | 07/16/2006 |
| NPI Last Update Date: | 03/31/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0063691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |