Individual
JASON GERARD VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
180 FORT WASHINGTON AVE, NEW YORK, NY 10032-3722
(212) 477-8866
(212) 473-4970
Mailing address
622 W 168TH ST # 4, NEW YORK, NY 10032-3720
(212) 305-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306309-1
NY
Other
Enumeration date
01/08/2013
Last updated
09/13/2017
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