Individual
DR. JOHN CHRISTOPHER VILLACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278-006
NY
Other
Enumeration date
05/26/2012
Last updated
07/23/2020
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