Bilder, Mary J

Bilder, Mary J is an individual health care provider with primary practice located at 239 Higbie Ln , West Islip NY 11795-2825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Bilder, Mary J can be contacted via phone (631) 376-6000.

Contact Information

Primary practice address
239 Higbie Ln West Islip NY 11795-2825
Phone: (631) 376-6000
Fax: (631) 376-6031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 106843-1 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X MD014147E Pennsylvania

Profile Details

NPI number 1205051836
LBN Legal business name Bilder, Mary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Apr 15th, 2010 - about 14 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 1205051836 NPPES
Pennsylvania MEDICAID 0006449390004

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