Healthcare Provider Details

I. General information

NPI: 1992628853
Provider Name (Legal Business Name): VERONICA HERNANDEZ VILLATORO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14015B SANFORD AVE FL 2
FLUSHING NY
11355-2557
US

IV. Provider business mailing address

891 FRONT ST
UNIONDALE NY
11553-1526
US

V. Phone/Fax

Practice location:
  • Phone: 718-358-8288
  • Fax:
Mailing address:
  • Phone: 516-325-4258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: