Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivelisse Villanueva

Individual provider Specialist · NPI 1720341605

Ivelisse Villanueva is a Specialist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
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Practice location Address checks out

3235 Cambridge Ave Apt LF
Bronx, NY 10463-3626
Phone: (646) 321-3126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 639976 (NY)

Record details

NPI number1720341605
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2012
Last updated in NPPESJune 16, 2012

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