Provider Demographics
NPI:1922815216
Name:INOFERIO, JUPHIL YOCOR (PT)
Entity type:Individual
Prefix:
First Name:JUPHIL
Middle Name:YOCOR
Last Name:INOFERIO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 JARRATT CT
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-6340
Mailing Address - Country:US
Mailing Address - Phone:804-618-4471
Mailing Address - Fax:
Practice Address - Street 1:333 E 34TH ST STE 1E
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-4977
Practice Address - Country:US
Practice Address - Phone:212-651-4380
Practice Address - Fax:212-651-4380
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053332225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist