Individual
MS. MICHELLE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 QUAKER ST, NEW HYDE PARK, NY 11040-1314
(516) 582-8504
Mailing address
19 QUAKER ST, NEW HYDE PARK, NY 11040-1314
(516) 582-8504
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
13193
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
4957081
NY
Other
Enumeration date
09/07/2010
Last updated
07/03/2024
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