Villanueva, Imelda
Villanueva, Imelda is an sole proprietor health care provider with primary practice located at 8900 Van Wyck Expy , Jamaica NY 11418-2897. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Villanueva, Imelda can be contacted via phone (718) 206-6290.Contact Information
Primary practice address
8900 Van Wyck Expy
Jamaica NY 11418-2897
Phone: (718) 206-6290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 115493 | New York |
Profile Details
| NPI number | 1689702516 |
|---|---|
| LBN Legal business name | Villanueva, Imelda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689702516 | NPPES |
| New York | MEDICAID | 00213209 |
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