MEDICARE: DR. NICOLETTE ERICA FILITIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	222241-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2685367	OTHER	NY	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4989395003	OTHER	NY	CIGNA
4	P2632316	OTHER	NY	OXFORD FREEDOM LIBERTY
5	222241P	OTHER	NY	HIP
6	091AF1	OTHER	NY	EMPIRE BCBS
7	2594555	OTHER	NY	GHI
8	82738	OTHER	NY	GHI HMO
9	1P0154	OTHER	NY	TOUCHTONE
10	173152	OTHER	NY	ELDER PLAN
11	2151913 AARP	OTHER	NY	UNITED HEALTHCARE
12	FN2241	OTHER	NY	ATLANTIS

General Provider Information

NPI Number	:	1033284906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLETTE ERICA FILITIS MD

Provider Business Mailing Address
First Line	:	18 SLAYTON AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-4976
Country	:	US
Telephone Number	:	718-233-1173
Fax Number	:

Provider Business Practice Location Address
First Line	:	741 JEWETT AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-2809
Country	:	US
Telephone Number	:	718-816-0101
Fax Number	:	718-816-9595

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	07/08/2007

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