Provider Demographics
NPI:1750365987
Name:BILYAK, AILEEN VICTORIA (MD)
Entity type:Individual
Prefix:DR
First Name:AILEEN
Middle Name:VICTORIA
Last Name:BILYAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AILEEN
Other - Middle Name:
Other - Last Name:BILYAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:110 N FEDERAL HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4300
Mailing Address - Country:US
Mailing Address - Phone:954-477-3335
Mailing Address - Fax:
Practice Address - Street 1:110 N FEDERAL HWY STE 104
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4300
Practice Address - Country:US
Practice Address - Phone:954-477-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD419993207V00000X
FLME119095207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019593420003Medicaid
FL013837200Medicaid
H90256Medicare UPIN