Provider Demographics
NPI:1649400706
Name:BILIK, MARY G (ATR, LCAT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:G
Last Name:BILIK
Suffix:
Gender:F
Credentials:ATR, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 FOREST RD
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-3038
Mailing Address - Country:US
Mailing Address - Phone:518-577-7624
Mailing Address - Fax:
Practice Address - Street 1:27 FOREST RD
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-3038
Practice Address - Country:US
Practice Address - Phone:518-577-7624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000987-1221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist