Individual
MICHELE A PAVILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
290 E 1ST ST, SUITE 1, CORNING, NY 14830-2925
(607) 936-1244
(607) 936-4023
Mailing address
290 E 1ST ST, CORNING, NY 14830-2925
(607) 936-1244
(607) 734-6293
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
186609
NY
Other
Enumeration date
07/08/2006
Last updated
10/21/2019
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