Healthcare Provider Details

I. General information

NPI: 1093735698
Provider Name (Legal Business Name): MICHAEL L VILARDO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 01/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4804 NORTH FRENCH ROAD
EAST AMHERST NY
14051
US

IV. Provider business mailing address

4804 N FRENCH RD
EAST AMHERST NY
14051-2178
US

V. Phone/Fax

Practice location:
  • Phone: 716-688-2614
  • Fax: 716-688-0997
Mailing address:
  • Phone: 716-688-2614
  • Fax: 716-688-0997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number189649
License Number StateNY

VIII. Authorized Official

Name: DR. MICHAEL L VILARDO
Title or Position: OPHTHOLMOLOGIST/OWNER
Credential: M.D.
Phone: 716-688-2614