Individual
DR. LAURA JEANNE PILUSO-WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
427 BROADWAY STE 2, MONTICELLO, NY 12701-1743
(845) 692-3668
Mailing address
427 BROADWAY STE 2, MONTICELLO, NY 12701-1743
(845) 692-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N005448
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N005448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01909035
—
NY
05
—
1952362865
—
NY
Enumeration date
12/04/2006
Last updated
12/17/2024
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