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Jorge Villella
NPI 1992042766 · on the registry since 2013 · sole proprietor
Practice
- Address
- 1 Trescott Path
Northport, NY 11768 - Phone
- (631) 292-2404
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York