Avilla, Carlos Villaverde

Avilla, Carlos Villaverde is an sole proprietor health care provider with primary practice located at 5 Camden Ct , Medford NY 11763-1583. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Avilla, Carlos Villaverde can be contacted via phone (631) 736-4334.

Contact Information

Primary practice address
5 Camden Ct Medford NY 11763-1583
Phone: (631) 736-4334
Fax: (631) 736-4333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 023135-1 New York

Profile Details

NPI number 1134374226
LBN Legal business name Avilla, Carlos Villaverde
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 18th, 2008
Last updated Nov 18th, 2008 - about 18 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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