Provider Demographics
NPI:1861782310
Name:MICHAEL L VILARDO MD PC
Entity type:Organization
Organization Name:MICHAEL L VILARDO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:VILARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-688-0996
Mailing Address - Street 1:4800 NORTH FRENCH ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2178
Mailing Address - Country:US
Mailing Address - Phone:716-688-0996
Mailing Address - Fax:716-688-0997
Practice Address - Street 1:4800 NORTH FRENCH ROAD
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2178
Practice Address - Country:US
Practice Address - Phone:716-688-0996
Practice Address - Fax:716-688-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1896491207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00026064505OtherUNIVERA
NY000524733003OtherBCBS
NY0809012OtherINDEPENDENT HEALTH
NYP00085287OtherRAILROAD MEDICARE
NY01399499Medicaid
NYF48794Medicare UPIN
NYDD2080Medicare PIN