Provider Demographics
NPI:1174628143
Name:ILARIO, JOHN D (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:D
Last Name:ILARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2700 WESTCHESTER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:
Practice Address - Street 1:1084 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1107
Practice Address - Country:US
Practice Address - Phone:914-848-8640
Practice Address - Fax:914-848-8641
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY107284207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000018230OtherGHI HMO
NY107284OtherHIP
NY2143414OtherAETNA HMO
NY4213831OtherAETNA PPO
NY12478OtherHUDSON HEALTH PLAN
NY2C1337OtherHEALTHNET
NY00188803Medicaid
NY1000017418OtherAFFINITY
NY0039800OtherGHI PPO
NY960142OtherEMPIRE BCBS OF NY YONKERS AVE
NY160046003OtherRAILROAD MEDICARE
NY960141OtherEMPIRE BCBS OF NY BROADWAY
NYWP220OtherOXFORD
NYWP220OtherOXFORD
NY4213831OtherAETNA PPO