Individual
ALBERT VILLACORTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4318 55TH ST, WOODSIDE, NY 11377-4610
(212) 221-1544
Mailing address
4318 55TH ST, WOODSIDE, NY 11377-4610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014898
NY
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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