Individual
ANA VILLACIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6427 68TH AVENUE, RIDGEWOOD, NY 11385
(646) 812-4156
Mailing address
6427 68TH AVE, RIDGEWOOD, NY 11385-4643
(646) 812-4156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/24/2014
Last updated
10/20/2021
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