1316948714 NPI number — MICHAEL L VILARDO MD

Table of content: MICHAEL L VILARDO MD (NPI 1316948714)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316948714 NPI number — MICHAEL L VILARDO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VILARDO
Provider First Name:
MICHAEL
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316948714
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4800 N FRENCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST AMHERST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14051-2178
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-688-0996
Provider Business Mailing Address Fax Number:
716-896-2318

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4800 N FRENCH RD
Provider Second Line Business Practice Location Address:
SUITE 4
Provider Business Practice Location Address City Name:
EAST AMHERST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14051-2178
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-688-0996
Provider Business Practice Location Address Fax Number:
716-688-0997
Provider Enumeration Date:
08/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  1896491 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000524733003 . This is a "CHOICE BLUE II" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "AETNA US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "AMERICAN PROGRESSIVE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000524733003 . This is a "COMMUNITY BLUE FIFTEEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "FIRST HEALTH NETWORK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 15792 . This is a "SPECTERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "TRICARE INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 633 . This is a "DAVIS VISION" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00085287 . This is a "MEDICARE TRAVELERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "NOVA HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00026064505 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000524733003 . This is a "BLUE CROSS/BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0809012 . This is a "IHA TEN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "AARP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "UNITED AMERICAN INS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "COLE VISION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0809012 . This is a "INDEPENDENT HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 470901436 . This is a "CIGNA HEALTH CARE" identifier . This identifiers is of the category "OTHER".




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