Individual
JOSE M. VILLARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4250 BROADWAY RM 1C, NEW YORK, NY 10033-3768
(212) 740-3900
(212) 740-8232
Mailing address
4250 BROADWAY RM 1C, NEW YORK, NY 10033-3768
(212) 740-3900
(212) 740-8232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
163346-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00931833
—
NY
Enumeration date
06/02/2006
Last updated
01/15/2015
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