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NPI Code Detail

MEDICARE: MICHELLE PILIPIS O.D

MEDICARE: MICHELLE PILIPIS O.D
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
1152W00000XOptometristTUV007565NY

General Provider Information

NPI Number : 1598078800
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PILIPIS O.D
Provider Business Mailing Address
First Line : 2785 WEST 5 TH STREET
Second Line : APT 9A
City : BROOKLYN
State : NY
Zip : 11224
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-3204
Country : US
Telephone Number : 347-873-1206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2010
Last Update Date : 05/30/2012

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Directions to “ MICHELLE PILIPIS O.D” Practice Location

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