MEDICARE: MICHAEL L VILARDO MD PC

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	207W00000X	Ophthalmology Physician	1896491	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00085287	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00026064505	OTHER	NY	UNIVERA
2	000524733003	OTHER	NY	BCBS
3	0809012	OTHER	NY	INDEPENDENT HEALTH
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861782310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL L VILARDO MD PC

Provider Business Mailing Address
First Line	:	4800 NORTH FRENCH ROAD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2178
Country	:	US
Telephone Number	:	716-688-0996
Fax Number	:	716-688-0997

Provider Business Practice Location Address
First Line	:	4800 NORTH FRENCH ROAD
Second Line	:
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-2178
Country	:	US
Telephone Number	:	716-688-0996
Fax Number	:	716-688-0997

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL L VILARDO
Credential	:	MD
Telephone Number	:	716-688-0996

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	04/18/2011

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