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Individual

DR. JOSEPH A ILASI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
51 CHARLES LINDBERGH BLVD, UNIONDALE, NY 11553-3658
(516) 794-4646
(516) 794-2014
Mailing address
19 BYRON RD, COMMACK, NY 11725-1327
(631) 864-2250

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
201655
NY

Other

Enumeration date
03/12/2007
Last updated
01/15/2009
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