Individual
BRIELLA ROSE VILLENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
173 FORT WASHINGTON AVENUE, 4TH FLOOR, NEW YORK, NY 10032
(212) 305-4600
(212) 305-8750
Mailing address
622 W 168TH ST PH 12, NEW YORK, NY 10032-3720
(212) 305-4600
(212) 305-8750
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310979
NY
Other
Enumeration date
10/13/2022
Last updated
02/16/2026
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