Individual
MRS. CHRISTINE ANNE VILLAR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
505 MCCALL AVE, WEST ISLIP, NY 11795-3709
(631) 669-1571
Mailing address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
(631) 544-5308
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301228
NY
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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