Individual
DR. JUAN NICHOLAS VILLARAMA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 GARNER ST, COHOES, NY 12047
(518) 237-4304
(518) 237-4392
Mailing address
14 GARNER ST, COHOES, NY 12047
(518) 237-4304
(518) 237-4392
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
100779
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00525975
—
NY
01
—
10005697
CDPHP
NY
01
—
23915
BLUE SHIELD NENY
NY
01
—
496791
EMPIRE BC
—
Enumeration date
09/25/2006
Last updated
07/08/2007
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