Individual
GABRIELLE VILLALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(212) 241-5503
Mailing address
248 NAVESINK AVE, HIGHLANDS, NJ 07732-1607
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F383564-01
NY
Other
Enumeration date
10/18/2023
Last updated
11/04/2023
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