DR. Jorge Octavio Villella III

NPI #1992042766 in Northport, New York

Provider Information

NPI Number
1992042766
Entity Type
Individual
Name
DR. Jorge Octavio Villella III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jan 13, 2013
Last Updated
Jan 13, 2013

Practice Location

Address
1 TRESCOTT PATH
ZIP Code
11768-2535
Phone
(631) 292-2404

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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Organizations

Provider Name
South Nassau Communities Hospital

Part of South Nassau Communities Hospital

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