Dr. Mary J Bilder
Adolescent Medicine
239 Higbie Ln
West Islip
, New York 11795-2825
Dr. Mary J Bilder
Adolescent Medicine
239 Higbie Ln
West Islip
, New York 11795-2825
(570) 724-1501
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Mary J Bilder
- 180 N Herman Ave
- Bethpage, NY
- Zip : 11714-4410
- Fax : (570) 724-1501
- Phone : (570) 439-1856
Second Address
- Dr. Mary J Bilder
- 239 Higbie Ln
- West Islip, NY
- Zip : 11795-2825
- Fax : (631) 376-6031
- Phone : (631) 376-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 106843-1 | NY |
| N | 2080A0000X | Adolescent Medicine | MD014147E | PA |
National Provider Identifier
| NPI | 1205051836 |
|---|---|
| Provider Name | Dr. Mary J Bilder |
| First Address | Bethpage, NY 11714-4410 |
| Second Address | West Islip, NY 11795-2825 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2007 |
| Last Update Date | 15/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0006449390004 | (05) | PA |
| B36905 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.