Individual
DR. JESUS DAVID VILLAMIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 FORT WASHINGTON AVE FL 5, NEW YORK, NY 10032-3722
(212) 342-6867
(212) 305-2500
Mailing address
3600 FORBES AVE STE 140, PITTSBURGH, PA 15213-3410
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
314156
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT213261
PA
Other
Enumeration date
05/15/2017
Last updated
05/20/2023
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