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General NPI Number Information
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NPI Number | 1093735698
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Entity Type | Organization
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Legal Business Name | MICHAEL L VILARDO INC.
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 01/31/2011
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Provider Practice Location Address
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Address Line | 4804 NORTH FRENCH ROAD
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City | EAST AMHERST
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State | NY
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Zip | 14051
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Country | US
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Telephone | 716-688-2614
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Fax | 716-688-0997
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Provider Business Mailing Address
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Address Line | 4804 N FRENCH RD
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City | EAST AMHERST
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State | NY
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Zip | 14051-2178
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Country | US
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Telephone | 716-688-2614
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Fax | 716-688-0997
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Authorized Official
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Title or Position | OPHTHOLMOLOGIST/OWNER
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Name | DR. MICHAEL L VILARDO
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Credential | M.D.
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Telephone | 716-688-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 189649
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License Number State | NY
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