Individual
RAISSA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
919 WESTFALL RD, BUILDING C, STE 220, ROCHESTER, NY 14618-2628
(585) 341-7500
(585) 341-7510
Mailing address
PO BOX 278984, ROCHESTER, NY 14627-8984
(585) 341-7500
(585) 341-7510
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
254706
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2006
Last updated
07/06/2023
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