Avila, Vincent Steven

Avila, Vincent Steven is an individual health care provider with primary practice located at 300 Old Country Rd Suite 111, Mineola NY 11501-4198. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Avila, Vincent Steven can be contacted via phone (516) 745-0500.

Contact Information

Primary practice address
300 Old Country Rd Suite 111 Mineola NY 11501-4198
Phone: (516) 745-0500
Fax: (516) 745-1534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 169989 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 169989 New York

Profile Details

NPI number 1518965110
LBN Legal business name Avila, Vincent Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Dec 19th, 2012 - about 12 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 1518965110 NPPES
New York MEDICAID 01835703

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