Individual
DR. MICHAEL ZILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WESTAGE BUSINESS CTR DR STE 115, FISHKILL, NY 12524-2271
(845) 896-4178
(845) 896-4278
Mailing address
19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
203112
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89128YW
—
NC
Enumeration date
10/06/2006
Last updated
02/06/2019
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