Villegas, Emilio B

Villegas, Emilio B is an sole proprietor health care provider with primary practice located at 9320A Roosevelt Ave Suite 2A, Jackson Heights NY 11372-7944. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Villegas, Emilio B can be contacted via phone (718) 404-9086.

Contact Information

Primary practice address
9320A Roosevelt Ave Suite 2A Jackson Heights NY 11372-7944
Phone: (718) 404-9086
Fax: (877) 634-1286
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 178777 New York

Profile Details

NPI number 1629048434
LBN Legal business name Villegas, Emilio B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated Dec 11th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629048434 NPPES
New York MEDICAID 01128156

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