Healthcare Provider Details

I. General information

NPI: 1235051053
Provider Name (Legal Business Name): AVIELLE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 NEPTUNE AVE APT 4L
BROOKLYN NY
11224-4408
US

IV. Provider business mailing address

444 NEPTUNE AVE APT 4L
BROOKLYN NY
11224-4408
US

V. Phone/Fax

Practice location:
  • Phone: 718-844-0785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: OLESYA PYLYPYUK
Title or Position: PROVIDER
Credential: MSED
Phone: 718-844-0785