Individual
DR. CECILIA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 TECHNOLOGY DR, EAST SETAUKET, NY 11733-4047
(631) 444-4686
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-4686
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
207324
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02254199
—
NY
01
—
7019377
AETNA
NY
01
—
728D31
EMPIRE BC.BS
NY
Enumeration date
06/13/2006
Last updated
04/13/2012
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