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Individual

DR. EMILIO B VILLEGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9320A ROOSEVELT AVE, SUITE 2A, JACKSON HEIGHTS, NY 11372-7944
(718) 404-9086
(877) 634-1286
Mailing address
9320 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7911
(718) 404-9086
(877) 634-1286

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
178777
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01128156
NY
Enumeration date
01/24/2006
Last updated
12/11/2012
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