Individual
OMAR PORFIRIO AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
161 SAVILLE ROAD, MINEOLA, NY 11501-2341
(516) 746-5456
(516) 746-3021
Mailing address
161 SAVILLE ROAD, MINEOLA, NY 11501-2341
(516) 746-5456
(516) 746-3021
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
117301
NY
Other
Enumeration date
10/17/2006
Last updated
04/04/2016
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