Individual
RONALD DELA VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1129 NORTHERN BLVD, 101, MANHASSET, NY 11030-3045
(516) 365-5570
(516) 365-5532
Mailing address
1129 NORTHERN BLVD, STE. 101, MANHASSET, NY 11030-3045
(516) 365-5570
(516) 365-5532
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071586
IN
207RN0300X
Nephrology Physician
Primary
263968
NY
207RN0300X
Nephrology Physician
99052287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2010864902
—
IN
Enumeration date
01/02/2008
Last updated
07/07/2014
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