Individual
MR. EDWARD VILLAMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
804 E 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
Mailing address
2251 SEDGWICK AVE, 4C, BRONX, NY 10468-5710
(646) 488-5645
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
17966
NY
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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