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NPI Code Detail

MEDICARE: DANIELA XIMENA TOVAR VILLADA MD

MEDICARE: DANIELA XIMENA TOVAR VILLADA MD
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
1207R00000XInternal Medicine PhysicianP141245NY

General Provider Information

NPI Number : 1982551701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELA XIMENA TOVAR VILLADA MD
Provider Business Mailing Address
First Line : 135 EDGECOMBE AVE APT BA
Second Line :
City : NEW YORK
State : NY
Zip : 10030-1172
Country : US
Telephone Number : 929-200-0975
Fax Number :
Provider Business Practice Location Address
First Line : 330 CHESTNUT ST
Second Line :
City : ONEONTA
State : NY
Zip : 13820-1212
Country : US
Telephone Number : 607-432-8500
Fax Number : 607-432-1061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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