Provider Demographics
NPI:1609859362
Name:HYLINSKI, JOSEPH HENRY (DPM)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:HENRY
Last Name:HYLINSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 BAY HILL DR
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3264
Mailing Address - Country:US
Mailing Address - Phone:215-482-7966
Mailing Address - Fax:215-483-5876
Practice Address - Street 1:5735 RIDGE AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1745
Practice Address - Country:US
Practice Address - Phone:215-482-7966
Practice Address - Fax:215-483-5876
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-26
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC-001807-L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000721234Medicare NSC
PAT28121Medicare UPIN