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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY VILLANUEVA, MD

Active

JEFFREY VILLANUEVA, MD is a Pediatric Urology healthcare provider located in SYRACUSE, New York. NPI 1962745133 is currently active in the NPPES registry. Verify at CMS.

Pediatric Urology · SYRACUSE, NY

Registration Details

NPI Number
1962745133
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2013 (13.176884867837 yrs)
Last Updated
Jul 20, 2020
Licenses
MD467016 (PA)
MD467016 (PA)
MT215493 (PA)
302506 (NY)

Practice Information

Address
725 IRVIG AVE
SUITE 403
SYRACUSE, NY, 132102306
Browse NY providers · Browse ZIP 13210
Phone
3154646060
Fax
3154642879
Primary Specialty
Pediatric Urology
2088P0231X
Additional Specialty
Pediatric Urology
Additional Specialty
Pediatric Urology

Other Pediatric Urology Providers in SYRACUSE, NY

Name Credential NPI
UMESCHANDRA B PATIL M.D. 1851510697
MATTHEW D MASON MD 1821264946
ANTHONY JOSEPH TRACEY MD 1538486295
JONATHAN VAN BUREN RIDDELL MD 1922391077
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.