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Organization

THOMAS CERILLO DPMPC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS CERILLO DPM (PRESIDENT)
(914) 337-1251
Entity
Organization

Contact information

Practice address
116 KRAFT AVE, BRONXVILLE, NY 10708-4134
(914) 337-1251
(914) 793-7473
Mailing address
116 KRAFT AVE, BRONXVILLE, NY 10708-4134
(914) 337-1251

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002655
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003048
CONNECTICARE
NY
01
0055370
GHI
NY
05
02724752
NY
01
030002655NY01
ANTHEM HEALTH AND LIFE
NY
01
0C9377
HEALTHNET
NY
01
134800
UNITED HEALTH CARE
NY
01
4126153
MVP HEALTH PLAN
NY
01
P30461
MD NY HEALTH PLAN
NY
01
P44193992
MULTIPLAN
NY
01
TC0P304610
HEALTH CHOICE
NY
01
WS1075
OXFORD
NY
Enumeration date
12/13/2007
Last updated
05/29/2008
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