Individual
MS. EILEEN MARIE PILLITTERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2017 DEER PARK AVE, DEER PARK, NY 11729-2727
(631) 242-7444
(631) 242-3810
Mailing address
160 OAK NECK LN, WEST ISLIP, NY 11795-5144
(631) 242-7444
(631) 242-3810
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
006293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-3251969
MARK PILLITTERI, DO
NY
Enumeration date
01/29/2009
Last updated
01/29/2009
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