Individual
JOSEPH MYLOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 N FOREST RD, GETZVILLE, NY 14068-1527
(716) 639-3311
Mailing address
1191 BOWEN RD, ELMA, NY 14059-9546
(716) 655-2690
(716) 655-2692
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
120404
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010124401
EXCELLUS UNIVERA
NY
01
—
005104233
HEALTH NOW
NY
05
—
01150852
—
NY
01
—
1356380612
UNIVERA HEALTHCARE
NY
01
—
3407611
INDEPENDENT HEALTH
NY
Enumeration date
06/05/2006
Last updated
07/26/2010
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