Individual
DR. BERNADETTE PAVLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
205 N BELLE MEAD AVE, EAST SETAUKET, NY 11733
(631) 444-4630
Mailing address
P.O. BOX 1559, STONY BROOK, NY 11790
(631) 444-4630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F301377
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02127737
—
NY
01
—
0E2511
EMPIRE BC.BS
NY
Enumeration date
07/12/2006
Last updated
07/08/2007
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