Organization
ISABELLA ILARDA M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY SONTERRE (BILLING MANAGER)
(646) 576-5700
Entity
Organization
Contact information
Practice address
6112 69TH ST, P2, MIDDLE VILLAGE, NY 11379-1142
(718) 416-4600
(718) 416-4603
Mailing address
6112 69TH ST, P2, MIDDLE VILLAGE, NY 11379-1142
(718) 416-4600
(718) 416-4603
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2064011
NY
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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