Individual
JOSE VILANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S, M.A, MFT
Contact information
Practice address
280 MADISON AVE RM 308, NEW YORK, NY 10016-0816
(914) 557-9113
Mailing address
333 SCHERMERHORN ST APT 17B, BROOKLYN, NY 11217-3492
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P08533
NY
Other
Enumeration date
01/08/2020
Last updated
01/15/2020
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