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Dr. Juan Nicholas Villarama JR., MD
General Practice Physician in Cohoes, New York
NPI 1093815177

Juan Nicholas Villarama JR. is a General Practice Physician based in Cohoes, NY. Juan Nicholas Villarama JR. practices in Cohoes, NY and has the professional credentials of MD. The NPI Number for Juan Nicholas Villarama JR. is 1093815177 and holds a License No. 100779 (New York).

The current practice location address for Juan Nicholas Villarama JR. is 14 Garner St, Cohoes, NY and can be reached out via phone at 518-237-4304 and via fax at 518-237-4392.

Location: 14 Garner St, Cohoes, NY, 12047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093815177
Provider Name
Juan Nicholas Villarama JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14 Garner St, Cohoes, NY, 12047
Phone Number
518-237-4304
Fax Number
518-237-4392
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00525975 05 NY
10005697 01 NY CDPHP
23915 01 NY BLUE SHIELD NENY
496791 01 EMPIRE BC
institution
Provider Business Practice Location Address Details
Address
14 Garner St
City
Cohoes
State
New York
Zip
12047
Phone Number
518-237-4304
Fax Number
518-237-4392
person
Provider Business Mailing Address Details
Address
14 Garner St
City
Cohoes
State
New York
Zip
12047
Phone Number
518-237-4304
Fax Number
518-237-4392
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
100779 (New York)
Definition
Definition to come...
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