Individual
MRS. NATASHA VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
718 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7163
Mailing address
1715 GREENE AVE APT 3R, RIDGEWOOD, NY 11385-1753
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
002123
NY
Other
Enumeration date
09/09/2017
Last updated
09/09/2017
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