Individual
JOHN VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2135 47TH ST STE 2, ASTORIA, NY 11105-1307
(347) 867-2143
Mailing address
2135 47TH ST STE 2, ASTORIA, NY 11105-1307
(347) 867-2143
Taxonomy
Speciality
Code
Description
License number
State
156FX1201X
Optometric Assistant Technician
—
—
2355A2700X
Audiology Assistant
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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