Individual
DR. GERALD VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 WATERSIDE PLZ APT 5E, NEW YORK, NY 10010-2629
(212) 448-0565
Mailing address
30 WATERSIDE PLZ APT 5E, NEW YORK, NY 10010-2629
(212) 448-0565
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
191574
NY
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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