Individual
ALBERT PERCIVAL VILLALUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
9065 55TH AVE, ELMHURST, NY 11373-4560
(201) 702-3398
Mailing address
9065 55TH AVE, ELMHURST, NY 11373-4560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
037054
NY
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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