Individual
JORGE VILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 E 83RD ST, APT. 10H, NEW YORK, NY 10028-4337
(212) 734-6400
Mailing address
353 E 83RD ST, APT. 10H, NEW YORK, NY 10028-4337
(212) 734-6400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
119821
NY
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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