Isabella Ilarda M.d., P.c.

NPI #1982844411 in Middle Village, New York

Provider Information

NPI Number: 1982844411
Entity Type: Organization
Organization Name: Isabella Ilarda M.d., P.c.
Primary Specialty: Dermatology
Enumeration Date: Feb 24, 2009
Last Updated: Feb 24, 2009

Practice Location

Address: 6112 69TH ST
Address 2: P2
City: Middle Village
State: New York
ZIP Code: 11379-1142
Phone: (718) 416-4600

Authorized Official

Name: MR. TERRY SONTERRE
Title: BILLING MANAGER
Phone: (646) 576-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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