Individual
DR. RAYMOND VILLANUEVA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 BEACH 19TH ST, ST. JOHN'S EPISCOPAL HOSPITAL, FAR ROCKAWAY, NY 11691-4423
(718) 869-7212
Mailing address
PO BOX 650457, FRESH MEADOWS, NY 11365-0457
(800) 875-4886
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
107707-1
NY
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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