Carmelita Avilla
Individual provider Active NPI Specialist · Levittown, NY
NPI 1124485131 · NPPES record last updated Jan 21, 2016
Key facts
- NPI
- 1124485131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 012474 (NY)
- Practice address
- 72 Farmedge Rd
Levittown, NY 11756-5202 - Phone
- (516) 490-3301
- Fax
- (516) 490-3303
- NPI assigned
- Jan 21, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 012474 | NY | Yes |
Addresses
Primary practice location
72 Farmedge Rd
Levittown, NY 11756-5202
Mailing address
72 Farmedge Rd
Levittown, NY 11756-5202
Phone (516) 490-3301
Other providers in Levittown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.