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1023697927
LUIS A VILLANUEVA
REGO PARK, NY
NPI
1023697927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 083784)
Enumeration Date
2021-04-07
Last Update Date
2021-04-07
Business Address
LUIS A VILLANUEVA
98120 QUEENS BLVD
REGO PARK, NY 11374-4357
Phone number: 774-608-0001
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Mailing Address
LUIS A VILLANUEVA
10 ALPERT DR
WAPPINGERS FALLS, NY 12590-4602
Phone number: 845-390-0010
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