| Doctor Name: | DR. ILVIRA D'ATRI |
| NPI Number: | 1801167150 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | 25MD00312800 |
| Business Practice Address: | 57 Harrison St Haworth, NJ - 076411920 |
| Business Phone Number: | 9176209187 |
| Business Fax Number: | |
| Mailing Address: | 3049 Brighton 6th St, BROOKLYN |
| State: | NY |
| Postal Code: | 112356409 |
| Phone Number: | 9176209187 |
| Fax Number: | 7189340994 |
| NPI Enumeration Date: | 01/18/2012 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 25MD00312800 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |