Individual
MR. KIEL DOMINIC A VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
7703 166TH ST, FRESH MEADOWS, NY 11366-1232
(347) 210-3874
Mailing address
8039 160TH ST, JAMAICA, NY 11432-1107
(347) 210-3874
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
08/07/2025
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