Organization
NEUROPSYCHOLOGIC ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS VILLANELLA PH.D. (SOLE MEMBER)
(631) 482-1200
Entity
Organization
Contact information
Practice address
500 W MAIN ST, SUITE 208, BABYLON, NY 11702-3027
(631) 482-1200
Mailing address
500 W MAIN ST, SUITE 208, BABYLON, NY 11702-3027
(631) 482-1200
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
014582
NY
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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