Individual
MICHAELA VILLANUEVA CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MADISON AVE, NEW YORK, NY 10016-7414
(551) 208-8140
Mailing address
213 VIRGINIA AVE, JERSEY CITY, NJ 07304-1423
(551) 208-8140
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012436-01
NY
Other
Enumeration date
10/10/2025
Last updated
10/14/2025
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