Avila, Cecilia

Avila, Cecilia is an individual health care provider with primary practice located at 6 Technology Dr , East Setauket NY 11733-4047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Avila, Cecilia can be contacted via phone (631) 444-4686.

Contact Information

Primary practice address
6 Technology Dr East Setauket NY 11733-4047
Phone: (631) 444-4686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 207324 New York

Profile Details

NPI number 1053353888
LBN Legal business name Avila, Cecilia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Apr 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053353888 NPPES
New York MEDICAID 02254199
New York Other 7019377
New York Other 728D31

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