Healthcare Provider Details

I. General information

NPI: 1447640412
Provider Name (Legal Business Name): ERIN BILECKI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2015
Last Update Date: 11/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 CENTRE AVE
PITTSBURGH PA
15206-3710
US

IV. Provider business mailing address

5820 CENTRE AVE
PITTSBURGH PA
15206-3710
US

V. Phone/Fax

Practice location:
  • Phone: 412-661-5500
  • Fax: 412-661-4365
Mailing address:
  • Phone: 412-661-5500
  • Fax: 412-661-4365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA057434
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: