Individual
BERNARDINO VILLAFANE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
19 W 34TH ST, SUITE 1021, NEW YORK, NY 10001-3006
(917) 627-3761
(845) 290-6455
Mailing address
9 MARION CT, POMONA, NY 10970-2634
(917) 627-3761
(845) 290-6455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R057652
NY
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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