Individual
KARLA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
954 N BROADWAY, MASSAPEQUA, NY 11758-2360
(516) 586-4364
Mailing address
7 MORRIS RD, BETHPAGE, NY 11714-6418
(516) 444-9235
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
033118
NY
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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