Piluso-Willson, Laura Jeanne

Piluso-Willson, Laura Jeanne is an individual health care provider with primary practice located at 4683 Merrick Rd , Massapequa NY 11758-6021. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Piluso-Willson, Laura Jeanne can be contacted via phone (516) 799-2525.

Contact Information

Primary practice address
4683 Merrick Rd Massapequa NY 11758-6021
Phone: (516) 799-2525
Fax: (516) 799-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N005448 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005448 New York

Profile Details

NPI number 1790843902
LBN Legal business name Piluso-Willson, Laura Jeanne
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Apr 14th, 2022 - about 3 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 1790843902 NPPES
New York MEDICAID 01909035

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