Individual
ELIZABETH VILLALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC-DIPL
Contact information
Practice address
26 MILLER CIR, HICKSVILLE, NY 11801-1805
(516) 509-5877
Mailing address
32 HOBART ST, EAST ISLIP, NY 11730-2806
(516) 509-5877
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
6952
NY
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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