Individual
MS. NOEMI VILLANUEVA STA ANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
1738 NEWBRIDGE RD UNIT 1, NORTH BELLMORE, NY 11710-1657
(917) 861-3374
Mailing address
189 ROUTE 100, SOMERS, NY 10589
(914) 232-5101
(914) 373-6497
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
309322
NY
Other
Enumeration date
10/24/2020
Last updated
02/14/2025
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