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1225114531
JOSE LICUANAN VILLALUZ
NEW YORK, NY
NPI
1225114531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 232191)
Enumeration Date
2006-10-29
Last Update Date
2007-07-08
Business Address
Dr. JOSE LICUANAN VILLALUZ M.D.
2 W 86TH ST SUITE # 507
NEW YORK, NY 10024-3666
Phone number: 212-873-0585
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Mailing Address
Dr. JOSE LICUANAN VILLALUZ M.D.
300 EAST 42ND STREET APT. # 1505
NEW, NY 10021
Phone number: 212-873-0585
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