Individual
DR. ROBERT LOUIS VILLANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
500 W MAIN ST, SUITE 208, BABYLON, NY 11702-3027
(631) 482-1200
(631) 482-1203
Mailing address
500 W MAIN ST, SUITE 208, BABYLON, NY 11702-3027
(631) 482-1200
(631) 482-1203
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
014582
NY
Other
Enumeration date
07/18/2006
Last updated
08/06/2013
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