Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RENE S MEDIAVILLO, M.D.
ActiveSpecialist · OZONE PARK, NY
Registration Details
- NPI Number
- 1376622019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2006 (19.483823122048 yrs)
- Last Updated
- Jul 9, 2007
- License
-
136585 (NY)
Practice Information
- Address
-
9202 LIBERTY AVEOZONE PARK, NY, 114171526Browse NY providers · Browse ZIP 11417
- Phone
- 7188359729
- Fax
- 7189259817
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in OZONE PARK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL LUZ AVARICIO | MD | 1639275084 |
| LAURA SIRACUSA | SPECIAL EDUCATION | 1871855692 |
| YVONNE PATRICIA FURQAN | — | 1972865160 |
| JANICE PEREZ | — | 1164784336 |
| MRS. KAREN INES GARCIA | M.S. | 1366797243 |
| MRS. VERONICA BODE | — | 1124375308 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.