Individual
JACK P PARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 GILBERT ST, CAMBRIDGE FAMILY HEALTH CENTER, CAMBRIDGE, NY 12816-2618
(518) 677-3961
(518) 677-3180
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 677-3961
(518) 677-3180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
145074
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
145074-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000462005001
SENIOR BLUE
NY
05
—
00650266
—
NY
01
—
10017565
CDPHP
NY
01
—
145074A
PREFERRED CARE
NY
01
—
68E431
BLUE CROSS
NY
01
—
91032
MVP
NY
Enumeration date
05/21/2007
Last updated
06/05/2012
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