Provider Demographics
NPI:1851897466
Name:JOHN A. PILAVAS MD PLLC
Entity Type:Organization
Organization Name:JOHN A. PILAVAS MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PILAVAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-204-5100
Mailing Address - Street 1:2509 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3620
Mailing Address - Country:US
Mailing Address - Phone:718-204-5100
Mailing Address - Fax:718-204-2580
Practice Address - Street 1:2509 31ST AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3620
Practice Address - Country:US
Practice Address - Phone:718-204-5100
Practice Address - Fax:718-204-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY274392207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty