Healthcare Provider Details

I. General information

NPI: 1316532856
Provider Name (Legal Business Name): MICHAEL G YLOSVAI JR. NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2021
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 NORTHERN PIKE STE 525
MONROEVILLE PA
15146-2177
US

IV. Provider business mailing address

2401 GREENSBURG PIKE
PITTSBURGH PA
15221-3665
US

V. Phone/Fax

Practice location:
  • Phone: 412-380-2750
  • Fax:
Mailing address:
  • Phone: 724-393-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP023145
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: