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NPI Code Detail

MEDICARE: NILSYA EDITH VILLARREAL RODRIGUEZ

MEDICARE: NILSYA EDITH VILLARREAL RODRIGUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist024428-01NY

General Provider Information

NPI Number : 1952728586
Entity Type Code : Individual
Provider Name (Legal Business Name) : NILSYA EDITH VILLARREAL RODRIGUEZ
Provider Business Mailing Address
First Line : 487 EMERSON PL FL 2
Second Line :
City : VALLEY STREAM
State : NY
Zip : 11580-2829
Country : US
Telephone Number : 914-413-1208
Fax Number :
Provider Business Practice Location Address
First Line : 225 BROADHOLLOW RD STE 402
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4899
Country : US
Telephone Number : 631-385-7780
Fax Number : 631-385-7795
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2014
Last Update Date : 12/10/2020

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Directions to “ NILSYA EDITH VILLARREAL RODRIGUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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