Organization
MICHELE A PAVILLARD D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE A PAVILLARD D.O. (D.O.)
(607) 936-1244
Entity
Organization
Contact information
Practice address
290 E 1ST ST, SUITE 1, CORNING, NY 14830-2925
(607) 936-1244
(607) 936-4023
Mailing address
111 E 14TH ST, ELMIRA HEIGHTS, NY 14903-1303
(607) 734-9539
(607) 734-6293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/22/2020
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