Healthcare Provider Details

I. General information

NPI: 1861782310
Provider Name (Legal Business Name): MICHAEL L VILARDO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 04/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 NORTH FRENCH ROAD
EAST AMHERST NY
14051-2178
US

IV. Provider business mailing address

4800 NORTH FRENCH ROAD
EAST AMHERST NY
14051-2178
US

V. Phone/Fax

Practice location:
  • Phone: 716-688-0996
  • Fax: 716-688-0997
Mailing address:
  • Phone: 716-688-0996
  • Fax: 716-688-0997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number1896491
License Number StateNY

VIII. Authorized Official

Name: DR. MICHAEL L VILARDO
Title or Position: OWNER
Credential: MD
Phone: 716-688-0996