1861782310 NPI number — MICHAEL L VILARDO MD PC

Table of content: (NPI 1861782310)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861782310 NPI number — MICHAEL L VILARDO MD PC

Organization/Personal Information

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

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:
1861782310
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4800 NORTH FRENCH ROAD
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:
716-688-0997

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4800 NORTH FRENCH ROAD
Provider Second Line Business Practice Location Address:
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:
04/18/2011

Additional Information

Authorized Official

Authorized Official Last Name:
VILARDO
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
L
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
716-688-0996

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: 00026064505 . This is a "UNIVERA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 000524733003 . This is a "BCBS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0809012 . This is a "INDEPENDENT HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P00085287 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01399499 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com