Organization
GUIDING LIGHT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY A VILENSKY MD (PRESIDENT)
(814) 753-4422
Entity
Organization
Contact information
Practice address
1315 S ALLEN ST STE 104, STATE COLLEGE, PA 16801-5923
(814) 753-4422
Mailing address
1315 S ALLEN ST STE 104, STATE COLLEGE, PA 16801-5923
(814) 753-4422
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD451033
PA
Other
Enumeration date
11/06/2017
Last updated
01/28/2021
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