Individual
MARK CHRISTOPHER PILLITTERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2017 DEER PARK AVE, DEER PARK, NY 11729-2727
(631) 242-7444
(631) 242-3810
Mailing address
2017 DEER PARK AVE, DEER PARK, NY 11729-2727
(631) 242-7444
(631) 242-3810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
199269
NY
207VG0400X
Gynecology Physician
199269
NY
207VX0000X
Obstetrics Physician
199269
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01792378
—
NY
Enumeration date
09/08/2006
Last updated
02/19/2009
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