Individual
DR. ATTILIO ANTONIO AVIDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
89 WIRT AVE, STATEN ISLAND, NY 10309-4225
(718) 317-0119
Mailing address
89 WIRT AVE, STATEN ISLAND, NY 10309-4225
(718) 317-0119
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
129922
NY
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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