Individual
DR. BRIDGETTE DIENELYS MATIAS VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
303 FIFTH AVE., SUITE 502, NEW YORK, NY 10016
(917) 705-6155
(212) 252-8808
Mailing address
7133 65TH PL APT 2A, GLENDALE, NY 11385-6338
(787) 242-4754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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