Villella, Jeannine A.

Villella, Jeannine A. is an individual health care provider with primary practice located at 635 Madison Ave Fl 12 , New York NY 10022-1009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Villella, Jeannine A. can be contacted via phone (212) 434-3770.

Contact Information

Primary practice address
635 Madison Ave Fl 12 New York NY 10022-1009
Phone: (212) 434-3770
Fax: (212) 434-3775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 218520 New York

Profile Details

NPI number 1659321982
LBN Legal business name Villella, Jeannine A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Apr 26th, 2016 - about 8 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 1659321982 NPPES
New York MEDICAID 02175991

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