Provider Demographics
NPI:1891082061
Name:SZILLUS, ERIC CHRISTOPHER (FNP)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:CHRISTOPHER
Last Name:SZILLUS
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-4831
Mailing Address - Country:US
Mailing Address - Phone:516-496-3001
Mailing Address - Fax:516-496-3066
Practice Address - Street 1:8 GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-4831
Practice Address - Country:US
Practice Address - Phone:516-496-3001
Practice Address - Fax:516-496-3066
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335466363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily