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Individual
DR. ROGER A VILLI
Active
Individual
DR. ROGER A VILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
187473
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01438706
—
NY
01
—
61H41WQ371
MEDICARE ID
NY
Enumeration date
09/30/2006
Last updated
08/26/2021
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