Individual
DR. CARL F ILARDI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 675-4149
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 675-4149
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
120883
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00997553
—
NY
Enumeration date
04/26/2006
Last updated
07/08/2007
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