Bilaniuk, Larissa T.

Bilaniuk, Larissa T. is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Radiology, Philadelphia PA 19104-4319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as her primary health care specialty. Bilaniuk, Larissa T. can be contacted via phone (215) 590-7000.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia - Radiology Philadelphia PA 19104-4319
Fax: (215) 590-9348
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD009226E Pennsylvania

Profile Details

NPI number 1700836467
LBN Legal business name Bilaniuk, Larissa T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 26th, 2017 - about 7 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 1700836467 NPPES
Pennsylvania MEDICAID 0006953930001

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