Individual
MRS. CECILIA ELIZABETH AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2133 31ST ST, ASTORIA, NY 11105-2601
(929) 457-7650
Mailing address
2446 79TH ST APT 2, EAST ELMHURST, NY 11370-1565
(718) 316-2018
(718) 446-5939
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016298
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04353559
—
NY
01
—
560073976
STATE ID
NY
01
—
G400339473
PECOS
NY
Enumeration date
12/10/2012
Last updated
04/16/2025
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