Provider Demographics
NPI:1164634549
Name:PILAVSKY, ALEXANDER JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:JOSEPH
Last Name:PILAVSKY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 64TH ST
Mailing Address - Street 2:APARTMENT 10C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-7426
Mailing Address - Country:US
Mailing Address - Phone:917-375-0168
Mailing Address - Fax:
Practice Address - Street 1:810 2ND AVE
Practice Address - Street 2:C/O ILLUSTRADENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4502
Practice Address - Country:US
Practice Address - Phone:212-480-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0521671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice