Individual
DR. JEANNINE A. VILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
635 MADISON AVE FL 12, NEW YORK, NY 10022-1009
(212) 434-3770
(212) 434-3775
Mailing address
635 MADISON AVE FL 12, NEW YORK, NY 10022-1009
(212) 434-3770
(212) 434-3775
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
218520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02175991
—
NY
Enumeration date
05/10/2006
Last updated
04/26/2016
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