Individual
CAMILO VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
91-19 QUEENS BLVD, CITY MD, ELMHURST, NY 11373-5531
(646) 647-1253
(718) 452-6112
Mailing address
91-19 QUEENS BLVD, CITY MD, ELMHURST, NY 11373-5531
(646) 647-1253
(718) 452-6112
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
296179
NY
Other
Enumeration date
04/29/2015
Last updated
10/20/2023
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