Villarica, Caesar G

Villarica, Caesar G is an sole proprietor health care provider with primary practice located at 5716 Myrtle Ave , Ridgewood NY 11385-4932. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Primary Care, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Villarica, Caesar G can be contacted via phone (718) 381-8049.

Contact Information

Primary practice address
5716 Myrtle Ave Ridgewood NY 11385-4932
Phone: (718) 381-8049
Fax: (718) 381-2882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X NYS192898 New York
Ambulatory Health Care Facilities / Primary Care 261QP2300X 192898 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 192898 New York

Profile Details

NPI number 1235202292
LBN Legal business name Villarica, Caesar G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2006
Last updated Dec 23rd, 2016 - about 10 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 1235202292 NPPES
New York MEDICAID 01484826

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