Individual
DR. VICTOR VILLAGONZALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2255 N TRIPHAMMER RD, ITHACA, NY 14850-1576
(607) 257-8877
(607) 257-8879
Mailing address
2255 N TRIPHAMMER RD, ITHACA, NY 14850-1576
(607) 257-8877
(607) 257-8879
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
000992
GA
213E00000X
Podiatrist
Primary
N005881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02862408
—
NY
Enumeration date
01/17/2006
Last updated
06/28/2013
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